57 year old female patient with new diagnosis of breast cancer. Bilateral breast reduction. Family history of breast and ovarian cancer. There is scattered fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.There are scattered cysts in the bilateral breasts. There is an enhancing focus in the 11:30 position of the right breast that measures 2 x 4 x 4 mm (AP x ML x CC) corresponding to patient's known cancer. There is a clip along the posterolateral aspect of the focus.There is a lobulated gradually enhancing lesion in the central right breast with dark internal septations that measures 9 x 8 x 10 mm (AP x ML x CC) consistent with a fibroadenoma. A similar benign morphology focus in the 9 o'clock position of the left breast is noted with a hypointense correlate on T2 weighted sequences. No suspicious abnormal enhancement is seen in the right breast.No abnormal lymph nodes are identified in either axillary region.There are two T2 hyperintense lesions in the right lobe of the liver that most likely represent cysts or hemangiomas.
1.Enhancing focus measuring 2 x 4 x 4 mm in the 11:30 position of the right breast with clip along the posterolateral aspect correlates with patient's known cancer. No abnormal lymphadenopathy noted.2.Benign morphology lesions most likely representing fibroadenomas are seen bilaterally.3.Two T2 hyperintense lesions in the right lobe of the liver most likely represent cysts or hemangiomas.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.