54 year old female with biopsy proven invasive lobular carcinoma with LCIS in the right breast at two sites presents for breast MRI. There is scattered fibroglandular tissue in both breasts.Minimal parenchymal enhancement is noted bilaterally.In the right breast, there is a large hematoma at 3 o'clock position, measuring 24 x 28 x 27 mm (AP x LR x CC). There is a marker clip at the anterior-superior-lateral aspect of the hematoma. Another clip is identified 1 cm posterior medial from the hematoma.There is a segmental non-mass enhancement in the right inner breast, measuring 49 x 47 x 32 mm, encompassing the hematoma and two clips, corresponding to the proven ILC with LCIS. Distance from the most anterior aspect of non-mass enhancement to the nipple is 15 mm. No abnormal enhancement is seen in left breast. No abnormal lymph nodes are identified in either axillary region.
1. Extensive non-mass enhancement in the right breast, corresponding to the proven ILC with LCIS. Large hematoma in the right breast. 2. No abnormal enhancement in left breast. 3. No abnormal lymph nodes are identified in either axillary region.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.