34-year-old female with history of left bloody nipple discharge and bilateral suspicious areas of enhancement on MRI examination, presents for MR guided ultrasound. A targeted left ultrasound was performed for the MRI area of concern. There is no solid or cystic mass identified.A targeted right ultrasound was performed for the MRI area of concern. There is no solid or cystic mass identified.
No sonographic correlates for the areas of enhancement within both breasts on recent MRI examination. MRI guided biopsy of two areas of enhancement in the left breast, and a single area of enhancement in the right breast, is recommended for definitive histologic diagnosis. Results and recommendations were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.