EXAM: MRI BREAST BILAT CAD WWO, 1/21/2016 9:12 AMREASON FOR STUDY: Imaging surveillance of the negative left breast and the reconstructed right breast. There are postsurgical changes from right breast mastectomy with TRAM reconstruction. A few fat necrosis are noted in the anteromedial and posterolateral aspect of the reconstructed right breast. A 8 x 0.9 cm small amount of fluid collection is noted along the right aspect of the TRAM. No suspicious enhancement in the reconstructed right breast.Left breast:There is scattered fibroglandular tissue in the left breast. Mild parenchymal enhancement is noted in the left breast. Post reduction changes are noted in the left breast. Sagittal susceptibility artifact is noted in the stable 8 mm enhancing mass in the left breast 3:00 position. This is compatible with a known history of benign biopsy. No abnormal enhancement is seen in the left breast. Fat necrosis is also noted in the upper inner left breast.No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy in the reconstructed right breast or the native left breast. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.