31 year old female with known multiple fibroadenomata presents for silicone implant evaluation. There is heterogeneous amount of fibroglandular tissue in both breasts.Marked parenchymal enhancement is noted bilaterally.Retropectoral silicone implant is present in both breast. No implant rupture or herniation is seen.No abnormal silicone signal is present in either breast.There are multiple circumscribed, slowly enhancing oval masses in both breasts, consistent with fibroadenomata (more left than in right).No suspicious enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy or implant rupture. Multiple fibroadenomata. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram.