72-year-old with 3 to 4-cm left breast cancer, DCIS, MRI for staging and surgery planning There is scattered fibroglandular tissue in both breasts.Minimal parenchymal enhancement is noted bilaterally.Left Breast: Postprocedural hematoma is seen on the T1 precontrast images measures 13 x 16 x 13 mm in the left breast 8 o'clock position. The clip artifact is noted within the hematoma. Area of non-Mass enhancement is seen anterior and posterior to the hematoma with total extent of 37 x 34 x 17 mm (AP x ML x CC), which includes the hematoma as well. This approximately corresponds to the extent of suspicious calcifications seen on mammogram.Right breast: No abnormal enhancement is seen in right breast. Axillae: No abnormal lymph nodes are identified in either axillary region. The left low-lying axillary lymph node appears folded over itself, unchanged from prior mammograms dating back to 2012.
1. Area of non-Mass enhancement corresponding to DCIS in left breast 8 o'clock position with maximum extent of 3.7 cm in the AP dimension. This approximately corresponds to the extent of suspicious calcifications seen on mammogram.2. No abnormality in the right breast or bilateral axillary regions. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.