55-year-old woman with family history of breast cancer in multiple relatives including maternal niece at age 32, maternal aunt and maternal cousin presents for bilateral screening breast MRI. There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally, limiting sensitivity of MRI. RIGHT BREAST: There is moderate duct ectasia especially inferiorly. A 5 mm oval mass in the upper outer quadrant near the 10:00 position with thin septation and benign kinetics is typically benign in appearance and likely a fibroadenoma. There is no suspicious appearing mass, or focus of temporal enhancement. LEFT BREAST: There is mild duct ectasia. There is no suspicious mass, morphology or focus of temporal enhancement.No abnormal lymph nodes are identified in either axillary region.OTHER: There is a T2 bright well circumscribed lesion in a lower thoracic vertebra measuring 7 x 7 mm (series 401, image 59). This was also present on a spine MRI from 2009 and appears similar allowing for differences in technique.
No MRI evidence for malignancy. Bilateral duct ectasia, right greater than left.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram.