50 year old presents for MRI research scan before her right breast biopsy. The study is performed for the Alan Penn research study. There is extreme amount of fibroglandular tissue in both breasts.Moderate to marked parenchymal enhancement is noted bilaterally. This includes prominent parenchymal edge enhancement and is a limitation to this study. There are a few scattered cysts in the breasts, right greater than left. In the right breast 12:00 position posteriorly, a bilobed irregular enhancing mass measures 0.8 x 0.8 x 1.3 cm and correlates to the mammogram and ultrasound. There is a thin fat plane between the mass and the pectoralis and the pectoralis enhances normally. No suspicious enhancement is seen in the left breast. No abnormal lymph nodes are identified in either axillary region.A few scattered high T2 signal hepatic lesions are highly likely benign such as cysts or hemangiomas.
Suspicious enhancing mass in the right 12:00 position. This will be biopsied for clinical purposes today after this research MRI.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.