Ms. Chernawsky is a 33 year old female with known left breast cancer. She presents today for MRI to evaluate extent of disease. There is heterogeneous amount of fibroglandular tissue in both breasts. Minimal parenchymal enhancement is noted bilaterally.In the left upper inner breast, 11:00 location, there is an irregular enhancing mass measuring 2.5 x 2.2 x 2.8 cm. Susceptibility artifact from biopsy marker clip is seen within the central aspect of this lesion, compatible with biopsy-proven malignancy. The MRI measurement of this mass approximates the mammographically visualized abnormality (spiculated asymmetry + pleomorphic calcifications of approximately 2.6 cm).There is no additional abnormal enhancement seen in the left breast. There is no abnormal enhancement in the right breast. No abnormal lymph nodes are identified in either axillary region.
Unifocal malignancy in the left upper outer breast. Normal axillary lymph nodes. If patient desires breast conservation therapy, a single wire localization needle targeting the biopsy clip vs bracketed wire localization for the entire span of calcifications (approximately 2.5 cm) can be performed based on clinical preference. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.