Right breast cancer diagnosed in September 2014. Patient has been on neoadjuvant chemotherapy. Please assess treatment response. Scattered fibroglandular densities are present bilaterally. Mild parenchymal enhancement is noted bilaterally.Right breast: The degree of abnormal enhancement in the right breast has significantly decreased since the prior examination. The irregularly shaped mass with irregular margins in the central right breast currently measures 2.1 x 0.9 x 1.3 cm (AP x LR x CC), previously 5.7 x 3.4 x 5.6 cm. There has also been decrease in the number of multiple enhancing foci extending anterior and medial to the index mass. Overall extent of enhancement is 5.1 x 4.1 x 2.1 cm, previously 6.5 x 6.7 x 5.4 cm. There continues to be skin thickening overlying the right breast with abnormal areas of the skin enhancement surrounding the right nipple. Previously described right axillary lymph node currently measures 9 mm in greatest diameter as opposed to 13 mm on the prior study.Left breast: No abnormal enhancement is seen in the left breast. No abnormal axillary lymph nodes are identified in the left axillary region.Multiple high signal intensity T2 weighted lesions in the liver are changed, compatible with benign hepatic cysts.
1. Interval decrease in the size of the right index cancer with decreased in number of surrounding enhancing foci and size of right axillary lymph node.2. Thickening and enhancement of the skin overlying the right nipple.3. Hepatic cystsBIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.