A patient submitted outside study for review. Submitted for review are breast MRI (5/22/2016), images from MRI guided right breast biopsy with postprocedural right mammographic images (5/31/2016), images from mammographic guided wire localization for right breast (6/13/2016), digital mammographic images of right breast (6/30/2016) performed at outside institution. Patient has a proven right breast cancer at 6:00 position. BREAST MRI (5/22/2016):Breast MRI was performed with a protocol outlined in the outside radiology report. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.There is an area of significant signal loss in the right breast at retroareolar region. A marker clip is visualized on T2-weighted images at inferior retroareolar region. There is a regional non-mass enhancement at right retroareolar region medial to the marker clip, measuring 18 x 31 x 15 mm (AP x LR x CC), likely a primary tumor with post biopsy changes. A benign appearing focal non-mass enhancement is seen in the right breast at upper outer quadrant, measuring 6 x 7 x 8 mm. No abnormal enhancement is seen in left breast. No abnormal lymph nodes are identified in either axillary region.IMAGES FROM MRI GUIDED RIGHT BREAST BIOPSY WITH POSTPROCEDURAL RIGHT MAMMOGRAPHIC IMAGES (5/31/2016):MRI guided biopsy was performed for the regional non-mass enhancement in the right retroareolar region and the focal non-mass enhancement at upper outer quadrant in the right breast. Postprocedural mammographic images show a marker clip at inferior retroareolar region, 2.4 cm inferior and posterior to the marker clip of the known cancer, and the other marker at posterior central breast. Per outside radiology report the results were benign.IMAGES FROM MAMMOGRAPHIC GUIDED WIRE LOCALIZATION FOR RIGHT BREAST (6/13/2016):Single wire localization was performed for the known cancer by lateral approach. Wire placement appears good.DIGITAL MAMMOGRAPHIC IMAGES OF RIGHT BREAST (6/30/2016):The study was performed after a lumpectomy for the right breast cancer. Postsurgical distortion with surgical clips are seen in the right breast. There are surgical clips within the right axilla from sentinel node biopsy. Mild skin thickening is seen. Interval removal of the marker clip within the tumor in the right retroareolar region. No suspicious mass, suspicious microcalcifications or suspicious areas of architectural distortion are noted in right breast.
Status post benign MRI guided biopsy in the right breast and status post lumpectomy for right breast cancer.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter.