Patient with Li-Fraumeni syndrome, surveillance evaluation There is scattered fibroglandular tissuein both breasts.Moderate parenchymal enhancement is noted bilaterally.At least 2 benign morphology foci identified in the right breast 12:00 and 10:00 position, close to the skin with corresponding T2 signal most likely representing a benign fibroadenoma or intramammary lymph node.An oval slowly enhancing heterogeneous mass in the right breast 2:00 position measures 13 x 7 x 11 mm (AP X ML X CC), close to the skin most likely corresponds to the infected sebaceous cyst as seen on ultrasound dated 1/2/2015. It has bright T1 characteristics suggestive of proteinaceous component. Oval enhancing mass in the left breast 6:00 position measuring 8 x 7 x 6 mm (AP X ML X CC) needs further evaluation with MR directed ultrasound. Possible dark septations within the enhancing mass suggest a fibroadenomaNo abnormal enhancement is seen elsewhere in either breast. No abnormal axillary lymph nodes are identified in either axillary region.Mild dependent right-sided pleural effusion.
1. 8 mm enhancing oval mass in the left breast 6:00 position needs further evaluation with MR directed ultrasound. Lesion shows few dark septations and could represent a benign fibroadenoma. If the lesion is not seen on ultrasound, 6 month follow up MRI is recommended. 2. Benign characteristic foci in the right breast and is slowly enhancing 13 mm mass close to the skin most likely is the patient's cyst at 2:00 position.3. No abnormality noted within the axillary region.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: E - Additional Mammo/Ultrasound Workup Required.