The patient submitted an outside study for review. Submitted for review is an MRI performed on 4/15/2016. For comparison,prior MRI from 10/20/2015 is available. MRI was performed as per outside protocol. No paperwork is submitted however. There is mild background parenchymal enhancement. An extreme amount of fibroglandular tissue is present. There is been significant interval decrease in the degree of abnormal enhancement in the left breast. Clumped discontinuous nonmass enhancement now extends over a total of 5.0 x 2.1 x 2.8 cm in the left inner breast. The overall volume of enhancing tissue is significantly decreased. The biopsy-proven metastatic lymph node is significantly decreased in size, now measuring up to 1.1 cm. No new suspicious enhancing lesion in either breast or axilla.
Significant interval decrease in left breast enhancement since the prior MRI. Left axillary adenopathy is also improved. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.