Ms. Williams is a 36-year-old female with a personal history of left breast lumpectomy in 2013 for triple negative IDC. Patient did not receive any chemotherapy or radiation therapy. Personal history of benign left MRI guided biopsy. She has no current breast related complaints. There is heterogeneous amount of fibroglandular tissue in both breasts. Moderate background parenchymal enhancement is noted bilaterally, which limits the sensitivity of this examination.Few scattered enhancing foci are identified bilaterally, all of which appear stable in appearance and distribution when compared to prior examinations. Stable postsurgical changes are identified in the left upper outer breast, at site of prior lumpectomy. Susceptibility artifact from biopsy marker clip is stable in the left upper outer breast. There is no new abnormal enhancement seen in either breast. No abnormal lymph nodes are identified in either axillary or internal mammary region.Small right pleural effusion is present.
Stable postsurgical changes of the left breast. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.