34-year-old female with right breast cancer, for surgical planning. There is extreme amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted in the left breast. Within the right breast, the index lesion is heterogeneously enhancing and measures 5.2 x 1.9 x 5.0 cm, spanning 10 to 2 o'clock and contains 2 areas of susceptibility artifact, compatible with prior biopsy clips. There are multiple satellite lesions and extensive non mass enhancement, which measures 9.2 x 3.1 x 11.4 cm (AP x ML x CC) in total. Non mass enhancement extends to the prepectoral fascia (no abnormal enhancement of the pectoralis muscle is noted), and contains an additional 6:00 biopsy clip, at posterior depth. A right axillary lymph node contains a biopsy clip and measures 1.0 x 1.1 cm.Within the left breast there is expected postpartum change. A left axillary lymph node measures 6 x 3 mm and contains a T2 hyperintense fatty hilum, compatible with normal benign lymph node. No suspicious enhancement is identified within the left breast.
1.Biopsy proven right breast cancer with index lesion measuring up to 5.2 cm, with satellite and non mass enhancement spanning the right breast and abutting the chest wall.2.Right axillary lymph node containing biopsy clip, pathology pending.3.No suspicious finding within the left breast.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.