63 year old female status post right lumpectomy and sentinel lymph node biopsy (negative nodal biopsy) in January 2009 for multifocal infiltrating ductal carcinoma. Patient is status post radiation and hormonal therapy. Patient has a strong family history of breast cancer. There is scattered fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.Postsurgical changes with volume loss identified in the right upper outer quadrant. Stable enhancing intramammary lymph node identified in the lateral left breast. Stable low T2 nonenhancing lesion in the left breast 6:00 position is also noted.No abnormal enhancement is seen in either breast. No abnormal axillary lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.