53 year-old female with known left breast cancer, status post neoadjuvant chemotherapy. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.In the left breast, the known cancer is again visualized at central - 3 o'clock position, measuring 29 x 32 x 21 mm (AP x LR x CC, previous measurement: 29 x 39 x 34 mm). There is susceptibility artifact from two biopsy marker clips superior to the mass. The medially located clip is approximately 10 mm superior to the anterior portion of the mass.No other abnormal enhancement in present in the left breast.In the left axilla, no abnormally enlarged lymph nodes are identified (previously, there were two abnormally enlarged lymph nodes). A susceptibility artifact from a marker clip is present in the left axilla.No abnormal enhancement is seen in right breast. No abnormal lymph nodes are identified in right axillary region.A Port-A-Cath is present within the medial superior right chest wall.
1. Mild reduction in size of the known left breast carcinoma 2. Marked reduction in size of left abnormally enlarged lymph nodes.3. No MR evidence for malignancy in right breast or right axillaBIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.