Ms. Davis is a 64 year old female presenting with a palpable mass in the left breast found to have bilateral suspicious masses on 10/21/2016 diagnostic workup now participating in Allen Penn Research study. Personal history of esophageal cancer treated with radiation and chemotherapy. There is heterogeneous amount of fibroglandular tissue in both breasts.Minimal parenchymal enhancement is noted bilaterally.In the right breast 2:00 location, posterior depth, there is an irregular enhancing mass measuring 15 x 11 x 12 mm (AP x TR x CC). This corresponds to the mass detected on mammography and ultrasound in the right upper inner breast.In the left breast 3:00 location, middle depth, there is an irregular enhancing mass with a contiguous satellite mass posteriorly measuring 13 x 8 x 10 mm in total (AP x TR x CC). This corresponds to the mammographically detected calcifications in the left lateral breast and to the mass detected on ultrasound. In the left breast at the 12:00 position, posterior depth, there are 2 intramammary lymph nodes which demonstrate a normal morphology and correspond to lymph nodes seen on prior years mammography.The axillary regions are suboptimally evaluated due to technical factors, especially in terms of evaluating for fatty hila. Within this limitation, no grossly abnormal axillary lymph nodes are identified in either axillary region.A gastric pull-up is noted in the thorax and was more fully characterized on prior chest CT.
Bilateral suspicious breast masses. An ultrasound-guided biopsy with clip placement was performed of each immediately following this MRI. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.