A patient submitted outside study for review. Submitted for review is MRI performed on 2/5/16. For comparison, her previously submitted outside studies are available. MRI MRI was performed as per outside protocol and uploaded to DynaCAD. There is an extreme amount of fibroglandular tissue in the breasts. Mild background parenchymal enhancement is noted. There are total of 4 masses in the right upper central breast which span more than 5 cm. From the superiormost to the inferior most, these masses measure 1.3 x 2.1 x 1.7 cm, 1.6 x 1.4 x 1.5 cm, 0.9 x 1.0 x 1.1 cm, and 0.9 x 0.9 x 1.0 cm. Clip artifacts are within or adjacent to the two most superior masses and the most inferior mass. The most inferior mass approaches to within 7 mm of the nipple. The most superior mass abuts the pectoralis posteriorly over a distance of nearly 2 cm, though there is normal muscle enhancement. No suspicious left breast enhancement. No enlarged axillary lymph nodes are seen.
Four enhancing masses on MRI in the right breast spanning more than 5 cm together, with the largest mass measuring up to 2.1 cm.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.