73 year old female who is status post left lumpectomy for ILC, resulting in positive surgical margins. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.There is a post-surgical seroma cavity in the left lateral breast, measuring 68 x 64 x 42 mm (AP x LR x CC). At the anterior-inferior margin of the seroma, there is an irregularly shaped enhancing mass, measuring 11 x 13 x 11 mm, which is suspicious for residual lesion.No abnormal enhancement is seen in right breast. Mild post-surgical changes are seen in the left axilla.No abnormal lymph nodes are identified in either axillary region.
1. Status post lumpectomy in the left breast. A residual tumor is suspected at anterior-inferior margin of the seroma.2. No MRI evidence of malignancy in the right breast.3. No abnormal lymph nodes in either axillary region.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter.