Ms. Keller is a 75 year old female presenting with newly diagnosed right breast cancer. There is heterogeneous amount of fibroglandular tissue in both breasts. Minimal background parenchymal enhancement is noted bilaterally.In the right lower inner breast, 5:00 location, there is an irregular enhancing mass identified measuring approximately 2.0 x 1.6 x 1.9 cm (AP x ML x SI). Susceptibility artifact from biopsy marker clip is seen within the central aspect of this lesion, compatible with biopsy-proven malignancy. There is no additional abnormal enhancement seen in the right breast.There is no abnormal enhancement seen in the left breast. No abnormal lymph nodes are identified in either axillary or internal mammary region.
(1) Unifocal malignancy of the right breast. If breast conservation therapy is to side, the biopsy marker clip can be used as targeting for preoperative surgical guidance.(2) No MRI evidence for malignancy in the left breast. BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. 