30-year-old female with BRCA1 mutation as well as BRCA2 variant of uncertain significance. Breast MRI for surveillance There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.High signal intensity round lesion on T2 W sequence in segment 8 of liver has minimally increased in size from 9 mm to 13 mm; could represent a hemangioma; however liver MRI is recommended for confirmation. Also noted is an irregular high signal intensity lesion along the falciform ligament which suppresses on the T1 dynamic fat-suppressed sequence and most likely represents fat along the falciform ligament however not definitely visualized on prior MRI.
No MRI evidence for malignancy in the breast. Interval increase in size of high signal intensity round lesion and irregular high signal intensity along falciform ligament which could represent fat . Further evaluation with liver MRI can be performed.BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram.