Ms. Crawford is a 40-year-old female with recently diagnosed DCIS of the right breast. She presents for MR evaluation. There is scattered fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.In the right lateral breast, far posterior depth, there is an area of irregular enhancement identified measuring 0.9 x 1.4 x 0.8 cm (AP x ML x SI). Susceptibility artifact from biopsy marker clip is seen within the central aspect of this enhancement, compatible with biopsy-proven malignancy.There is no additional abnormal enhancement identified in the right breast. There is no abnormal enhancement identified in the left breast. No abnormal axillary lymph nodes are identified in either axillary region.
Unifocal malignancy of the right breast. No MRI evidence for malignancy of the left breast.If breast conservation therapy is desired, the biopsy marker clip in the right breast can be used as target for preoperative wire localization.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. 