69-year-old female with a personal history of a NEW biopsy-proven invasive ductal carcinoma in the right breast. She has a remote history of right lumpectomy in 2000 for breast cancer followed by radiation and hormonal therapy. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally. RIGHT BREAST:There is a spiculated mass with washout dynamic kinetics in the inferior right breast, 7:00 location, far posterior depth, measuring 1.8 x 2.7 x 2.7 cm (LR X AP X SI). Artifact from the biopsy clip is identified in this mass. This is compatible with the biopsy-proven malignancy. No enhancement in the pectoralis muscle to suggest disease involvement. Linear enhancement extending from this mass to the skin along the biopsy needle track is most consistent with the post procedure inflammatory change.There is nonspecific, asymmetric enhancement in the right nipple.LEFT BREAST:No abnormal enhancement is seen in the left breast. AXILLAE:No abnormal axillary lymph nodes are identified in either axillary region.
1. Unifocal biopsy-proven malignancy at posterior 7:00 position in the right breast.2. No MRI evidence for malignancy in the left breast. 3. No abnormal axillary lymph nodes in either axillary regionBIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.