46 year old with right breast cancer on neoadjuvant chemotherapy. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally. A few scattered cysts are present. At the 10 o'clock position of the right breast, there is faint residual enhancement during the later phases of the dynamic study, measuring as a 1.0 x 0.9 x 1.0 cm mass. This is significantly decreased in size and degree of enhancement compared to the pre-treatment MRI. Previously this measured 3.3 x 3.0 x 2.8. The lymph nodes in the right axilla are normal in morphology. No abnormal enhancement is seen in the left breast. No abnormal lymph nodes are identified in either axillary region.A port-a-cath is present in the left upper chest wall. Trace pleural effusions are present.
Significant response since the pre-treatment MRI. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.