44 year old present for pre-surgical evaluation after receiving neoadjuvant chemotherapy. There is heterogeneous amount of fibroglandular tissue in both breasts. Numerous high T2 signal cysts are seen.Mild parenchymal enhancement is noted bilaterally.The index mass is in one dimension increased in size compared to the most recent prior measurements, today measuring 3.1 x 2.7 x 2.9 cm, previously 3.1 x 2.7 x 2.7 cm. Internal artifact from the biopsy clip is noted. Artifact from the benign biopsy Hydromark clip is also again seen anterior to the known cancer and has no suspicious adjacent enhancement. A few scattered peripherally enhancing cysts are noted on contrast enhanced images of the left breast.No significant change in left axillary lymph nodes, with a reference node again measuring 1.3 x 0.9 cm. No suspicious enhancement is seen in the right breast. There are a few peripherally enhancing cysts in the right breast. No abnormal lymph nodes are identified in the right axillary region.Right chest wall Port-A-Cath is present. Hepatic mass also again noted.
Slight interval increase in measurement of the left breast cancer. No change in reference axillary node.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.