28 year old with BRCA 1 mutation. There is heterogeneous amount of fibroglandular tissue in both breasts.Minimal parenchymal enhancement is noted bilaterally.There is a new non mass enhancement in the left breast at middle 10:00 position, measuring 15 x 10 x 11 mm (AP x LR x CC). In addition, a smaller non-mass enhancement is present at middle 12:00 position in the left breast, measuring 8 x 4 x 9 mm.No abnormal enhancement is seen in right breast. No abnormal lymph nodes are identified in either axillary region.
New suspicious non mass enhancement in the left breast. Diagnostic mammogram and ultrasound study is recommended. If no correlation is detected on mammogram or ultrasound, MR guided biopsy should be considered.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: E - Additional Mammo/Ultrasound Workup Required.