Personal history of LCIS and ALH, family history of breast cancer. There is heterogeneous amount of fibroglandular tissue in both breasts.Minimal parenchymal enhancement is noted bilaterally.In the right central 3:00 position, there is a new 1.1 cm area of linear non-mass enhancement. This does not meet threshold for kinetic analysis, however based on the appearance and change compared to prior studies, further evaluation with MR guided biopsy is recommended. Second look/MRI directed ultrasound would be highly unlikely to find a correlate for this small subtle finding.No abnormal enhancement is seen in the left breast. No abnormal lymph nodes are identified in either axillary region.
New linear non-mass enhancement in the right breast. Further evaluation with MR guided biopsy is recommended. If the patient is on blood thinning medications, these should be held prior to biopsy. The finding and need for biopsy were emailed to Dr. Romero.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.