38-year-old female with maternal aunt 3 cousins with breast cancer at unknown age. History of benign right breast biopsy. The exam is moderately degraded by motion.Heterogenously dense breast parenchyma is noted. On postcontrast images, moderate parenchymal enhancement is seen bilaterally. There are multiple small benign morphology enhancing foci seen in both breasts that are mostly stable. In the right breast the biopsy-proven fibroadenoma at 2:00 measures 1.5 x 1 x 1.2 cm and previously measured 1.5 x 1 cm, not significantly changed. An additional small fibroadenoma at 10:00 in the right breast is also again noted without significant interval change. There are multiple bilateral cysts greater on the right as well as retained fluid within the ducts.No abnormal enhancement or suspicious mass is seen in either breast. No abnormal axillary lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. Continued screening MRI and mammograms are recommended. Findings relayed to Dr. Cifu (pager 6608). BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.