Ms. Marler is a 64 year old female on neoadjuvant therapy. Mild parenchymal enhancement is noted bilaterally.The index cancer now measures 1.7 x 1.0 x 1.3 cm, compared to 1.8 x 1.1 x 1.4 cm. The posterior satellite continues not to be visible on today's exam. The total area of abnormal enhancement now measures 4.3 cm, compared to 6.0 cm (in the AP direction). The lateral benign intramammary lymph nodes are unchanged. In the left axilla, the reference lymph node now measures 0.8 x 0.5 cm, compared to 0.8 x 0.7 cm. Other lymph nodes are also smaller when compared to priors. There is no new abnormal enhancement seen in either breast. No new abnormal axillary lymph nodes are identified in either axillary region. A vascular port is again present in the right chest wall.
1. Decreasing size of index cancer and other abnormal enhancement in the left breast. 2. Decreasing size of left axillary lymph nodes.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.