60-year-old female with family history of breast cancer, for breast cancer screening. Moderate parenchymal enhancement is noted bilaterally.5 mm enhancing focus in the right breast at the 6:30 o'clock position. Multiple smaller benign appearing foci are also identified scattered in both breasts. Benign-appearing intramammary lymph node is identified in the right breast at the 10:00 position.No abnormal lymph nodes are identified in either axillary or in the left breast.
1. 5 mm enhancing focus in the right breast 6:30 position. This finding is probably benign, however prior mammographic/sonographic/MRI comparison studies are necessary to establish stability of finding. Please submit prior mammogram if performed. MRI directed ultrasound is recommended of this lesion. If the lesion is not seen on ultrasound, short term MRI follow-up is recommended in 6 months.2. Patient should also undergo bilateral screening mammography, if not already performed in the last 12 months.BIRADS: 0 - INCOMPLETE; Need prior mammographic, sonographic or MRI study for comparison to establish stability of finding.RECOMMENDATION: O - Old Study For Comparison.