Ms. Hamilton is a 62 year old female with a strong family history of breast cancer in her sister (diagnosed at the age of 59), paternal grandmother (diagnosed in her 70's) and paternal cousin (diagnosed at the age of 50). Personal history of benign left breast MR-guided biopsy in 08/2010 for atypical lobular hyperplasia. There is scattered fibroglandular tissue in both breasts. Moderate parenchymal enhancement is noted bilaterally, limiting the sensitivity of this examination.Multiple foci of scattered enhancement are seen bilaterally, all of which appear stable in distribution and appearance when compared to prior exams. No one focus appears more suspicious than the rest. Susceptibility artifact from the benign MR guided biopsy in the left central breast is unchanged. No abnormal axillary lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.