48-year-old female with breast cancer, in need of evaluation. Patient participating in ISPY2 study. MRI #1 for ISPY2. There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.There is a heterogenously enhancing mass at the 5:00 position, posterior depth in the left breast, which demonstrates heterogeneous intrinsic signal, with areas of distinct high and low T2 signal, suggesting recent biopsy, and consistent with biopsy-proven breast cancer. The mass measures 3.4 x 3.6 x 2.8 cm (AP X ML X CC), without significant associated nonmass enhancement. No definite associated clip artifact is noted. No additional suspicious enhancing lesions are seen within the left breast.No abnormal enhancement is seen in right breast. No abnormal axillary lymph nodes are identified in either axillary region.
1.Enhancing left breast mass consistent with biopsy-proven breast cancer as detailed above.2.No abnormal enhancement in the right breast.3.No evidence of axillary lymphadenopathy.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.