Status post left mastectomy for breast cancer in 2007. Status post right breast reduction in 2014. There is heterogeneous amount of fibroglandular tissue in the right breast. Moderate parenchymal enhancement is noted in the right breast.Numerous enhancing right breast foci are stable. There is inferior breast skin thickening and enhancement, which could be keloid formation related to her breast reduction surgery. The patient has had a left breast reconstruction and there are decreased areas of enhancement within it, compatible with resolving post-operative enhancement and most likely fat necrosis. No abnormal axillary lymph nodes are identified in either axillary region.
1. No MRI evidence for malignancy within the right breast or left reconstruction. Routine right unilateral mammogram is recommended.2. Skin thickening and enhancement on the right inferior breast may relate to keloid formation--please ensure that this is also true on physical exam. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.