Ms. Lee is a 46-year-old female who is BRCA1 positive. She has a strong family history of breast cancer including maternal grandmother, maternal aunt, cousins and great grandmother. Personal history of benign left breast MR guided biopsy in 2012. 8/21/2009Minimal parenchymal enhancement is noted bilaterally. Breast parenchyma is almost entirely fat.There is a 4 mm focus of enhancement identified in the right upper inner breast, which may have a questionable correlate to prior MR examination from 08/21/2009 (particularly on the T2 weighted images). The kinetic pattern is typically benign at this site. Given the presence of calcified oil cysts in this region mammographically, it may represent a focus of fat necrosis. No abnormal enhancement is seen in the left breast. There are several stable intramammary lymph nodes seen bilaterally. No abnormal axillary lymph nodes are identified in either axillary region.Images were also reviewed with Dr. Abe, who concurred with the management plan below.
High probability benign focus of enhancement in the right upper inner breast, with an appearance favoring fat necrosis. Given the strong family history, recommend a short term 6 month MRI examination to confirm stability of these findings.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).