A patient submitted outside study for review. Submitted for review are breast MRI (5/17/16) performed at Magnetic Resonance Imaging Center. For comparison, outside studies of digital mammographic images (4/21/16), ultrasound images of left breast (4/21/2016), a specimen radiograph and left digital mammographic images (5/5/2016) are available. BREAST MRI (5/17/16):Breast MRI was performed with a protocol outlined in the outside radiology report.There is extreme amount of fibroglandular tissue in both breasts.Marked parenchymal enhancement is noted bilaterally.There is a susceptibility artifact from a marker clip of recent DCIS biopsy at posterior far-lateral, superior aspect in the left breast. Because of strong parenchymal enhancement, no discrete enhancement around the marker clip is identified.No abnormal lymph nodes are identified in either axillary region.
Non-diagnostic MRI due to marked parenchymal enhancement. If clinically indicated, repeat MRI at University of Chicago utilizing high temporal resolution technique can be performed.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.