A patient submitted outside study for review. Submitted for review is MRI dated March 13, 2015 performed at DuPage Medical Group in Naperville, Illinois. For comparison, prior mammograms dated June 13, 2014 and March 21, 2014 are available. Bilateral screening breast MRI was performed per outside institution protocol without and with gadolinium based contrast agent. Interpretation of this examination is somewhat limited given the inability to upload and interpret the dynamic images utilizing Dynacad.There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.An area of non-mass enhancement is present within the upper inner right breast, mid depth, measuring 1.9 x 1.1 x 1.9 cm, and is not appreciated on prior examinations. Additionally, there is mild skin indentation overlying the area of enhancement within the medial right breast. Elsewhere, multiple patchy areas of enhancement are appreciated throughout both breasts, unchanged from prior examinations. No abnormal lymph nodes are identified in either axillary region.
New area of non-mass enhancement within the upper inner right breast with overlying skin indentation. Correlation with history of biopsy or other surgical procedure recommended. MRI guided ultrasound is recommended. If no sonographic correlate is identified, MRI with possible biopsy is advised.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: X - No Letter.