36-year-old female with history of right breast cancer status post neoadjuvant chemotherapy, partial mastectomy, sentinel lymph node biopsy and management radiation therapy. Now with new mammographic evidence of left focal asymmetry and new left nipple inversion. Please evaluate for new suspicious lesions. There is scattered fibroglandular tissue in both breasts. Postsurgical changes noted in the right upper-outer quadrant and axillary region.Mild parenchymal enhancement is noted bilaterally. New linear oriented area of non mass enhancement is seen in the left central breast at approximately 9:00 position measuring 32 x 7 x 7 mm (AP X ML X SI).No abnormal enhancement is seen in right breast. No abnormal lymph nodes are identified in either axillary region.
New linear oriented area of non mass enhancement in the left central breast at approximately 9:00 position needs further evaluation with MRI guided biopsy. Findings conveyed to Joly Raju RN, at the time of dictation. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: H - Percutaneous Biopsy/Aspiration.