53 are old female with history of right breast lumpectomy in 2014 for DCIS with clear margins, presents with new right-sided breast biopsy which is positive for DCIS adjacent to the prior lumpectomy bed. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.Susceptibility artifact from biopsy clip is present within the mid central right breast, with adjacent 1.8-cm hematoma. Mild peripheral enhancement is present surrounding the biopsy cavity, and may be related to post biopsy change rather than DCIS given that it is largely thin and uniform around the hematoma. No abnormal lymph nodes are identified in either axillary region.
1. Post biopsy changes in the mid central right breast with associated clip. Mild peripheral enhancement is noted surrounding the biopsy cavity, likely post biopsy change. Residual DCIS is considered less likely.2. No MRI evidence of malignancy in the left breast or suspicious axillary node.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.