A patient submitted outside study for review. Submitted for review are breast MRI (10/6/2016), images from MRI guided biopsy of right breast and postprocedural right mammographic images (11/8/2016) performed at outside institution. BREAST MRI (10/6/2016):Per outside radiology report, breast MRI was performed as screening for high risk woman.The breast MRI was performed per a protocol, outlined in the outside radiology report.There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.There is a lobulated mass measuring 8 x 8 x 10 mm (AP x LR x CC) at retroareolar region in the right breast. Distance between nipple and the mass is approximately 2 mm. There are no other abnormal enhancing lesions elsewhere in the right breast or in the left breast. No abnormal lymph nodes are identified in either axillary region.IMAGES FROM MRI GUIDED BIOPSY OF RIGHT BREAST AND POSTPROCEDURAL RIGHT MAMMOGRAPHIC IMAGES (11/8/2016):Images from MRI guided biopsy right breast have been submitted. However there are no actual biopsy images. Post procedural right mammographic images show a marker clip placed at retroareolar region. The mass is not identified on the mammogram.Per outside pathology report, the result was malignant, invasive mammary carcinoma grade 3.
Biopsy proven unifocal carcinoma in the right breast at retroareolar region.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.