History of left breast mammographic architectural distortion with sonographic correlate. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.There are adjacent foci of enhancement near the left breast at 10:00 in the mid to posterior depth which together measure 6 x 6 x 8 mm. These have mixed kinetics including areas of washout. This finding correlates positionally to the mammographic and sonographic finding. Elsewhere scattered non-suspicious foci are seen. No abnormal enhancement is seen in the right breast. No abnormal lymph nodes are identified in either axillary region.Hepatic cysts are noted.
Enhancing adjacent left breast foci that correlate positionally to the mammographic and sonographic finding. No additional suspicious enhancing lesion. No enlarged axillary lymph node. Subsequent to this exam, the patient underwent an ultrasound guided biopsy. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.