Ms. Ward is a 40 year old female presenting for MRI evaluation of a mammographically/sonographically detected abnormality in the left upper outer breast. There is heterogeneous amount of fibroglandular tissue in both breasts. Marked parenchymal enhancement is noted bilaterally, which limits the sensitivity of this examination.Although there is marked background parenchymal enhancement noted bilaterally, no discrete abnormality is seen to correspond to the mammographically and sonographically detected abnormality in the left upper outer breast.Multiple scattered T2 hyperintense nonenhancing cysts are identified bilaterally, the largest of which is identified in the left lateral breast measuring up to 1.5 cm.No abnormal axillary lymph nodes are identified in either axillary region.
(1) Marked background parenchymal enhancement, which limits the sensitivity of this examination.(2) No discrete abnormal MR enhancement seen in the left upper outer breast to correspond to the mammographically and sonographically detected abnormality. The patient is scheduled for an ultrasound-guided biopsy immediately following this MRI.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.