Ms. Davis is a 62-year-old female with family history of breast cancer in mother (diagnosed at age 50), sister (diagnosed at the age of 40), and a paternal cousin. She is of an Ashkenazi Jewish heritage. Mild parenchymal enhancement is noted bilaterally.Right breast: In the right upper outer breast, 10:00 location (posterior depth), there is a stable 9 mm enhancing mass which is unchanged when compared to multiple prior exams. In the right upper outer breast, 11:00 location (anterior depth), there is a 5 mm enhancing focus. This was seen on prior MRI in 2014 and to a lesser extent on MRI from 2012. Left breast: In the left inferior breast, 6:00 location (anterior depth), there are two parallel linear enhancing areas. These were also seen on prior MRI in 2014 and to a lesser extent on MRI from 2012. No abnormal axillary lymph nodes are identified in either axillary region.Drs. Schacht, Abe and Sheth concurred on the management discussed below.
Bilateral enhancing foci which appear slightly more prominent on today's MRI exam. Given that these were seen on prior MRI from 2014 and to a lesser extent on MRI from 2012, a short term MRI examination in 6 months is recommended to confirm stability of these findings. BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).