83 year old with previously treated right breast cancer and newly diagnosed left axillary cancer. Evaluate for disease. There is scattered fibroglandular tissue in both breasts.Minimal parenchymal enhancement is noted bilaterally. The right breast is smaller than the left, compatible with her surgical history.No abnormal enhancement is seen in either breast. Within the left axilla, multiple (4 or 5) abnormal lymph nodes are seen. The largest contains the Hydromark biopsy clip and measures 1.2 x 1.1 cm. No abnormal lymph nodes are identified in the right axillary region. Post-operative changes are seen.
Multiple suspicious left axillary lymph nodes, including the biopsy proven malignant node. No MRI evidence for malignancy within the breasts. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.