56 year old with right nipple discharge Breast parenchyma is almost entirely fat in both breasts.Minimal parenchymal enhancement is noted bilaterally.There is a linear non mass enhancing lesion in the central aspect of right breast, measuring 24 x 6 x 6 mm (AP x LR x CC), extending anteroposteriorly. This lesion is connecting to a mildly dilated duct toward the nipple. No abnormal enhancement is seen in left breast. No abnormal lymph nodes are identified in either axillary region.
1. Suspicious linear non mass enhancing lesion in the central aspect of right breast. MR-directed ultrasound study is recommended. If sonographic correlation is detected, ultrasound guided biopsy can be performed.2. No MR evidence for malignancy in the left breastBIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.