Ms. O'Hara is a 52 year old female with known left breast cancer. She presents for MRI evaluation as part of the I-SPY2 protocol. There is scattered fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.In the left upper inner breast, there is no significant residual enhancement at the site of proven malignancy. Susceptibility artifact from biopsy marker clip continues to be seen. A stable punctate benign appearing focus is present in the lateral left breast.There is no abnormal enhancement in the right breast. No abnormal lymph nodes are identified in either axillary or internal mammary region.
(1) No significant residual enhancement at the site of index malignancy of the left breast. (2) No MRI evidence for malignancy in the right breast. BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.