64-year-old female needs restaging for triple negative breast cancer. Clinical Trial Patient 14-0427. There is scattered fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally. RIGHT BREAST:In the right upper outer breast, the index cancer has significantly decreased in size and now measures 9 x 8 x 12 mm (AP X ML X SI) compared to 1.8 x 1.4 x 2.3 cm previously. Susceptibility artifact from biopsy marker clip is seen adjacent to the mass. No abnormal enhancement is seen adjacent to the clip that was previously within the satellite lesion located approximately 2.0 cm anterior to the index cancer and has likely resolved. The previously described faint area of enhancement in the right inferior breast has the appearance of normal glandular tissue on today's exam.The previous enlarged reference right axillary lymph node has decreased significantly measuring 8 x 13 mm compared to up to 32 mm in maximal dimension previously. A clip is noted within the lymph node.LEFT BREAST:No abnormal enhancement seen in the left breast. No abnormal axillary lymph nodes are identified in the left axillary region. A chemo port is noted in the left chest.
1.Near complete treatment response in the right breast index cancer, satellite lesion and right axillary lymph node.2.The previously described focus of faint area of enhancement in the right inferior breast appears on today's exam to be normal glandular tissue.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.