53 year old with history of right lumpectomy for breast cancer, and history of left breast benign biopsy at two sites presents for screening MRI. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.Right breast is deformed from prior lumpectomy at lateral aspect with multiple metallic artifacts in the right axillary region.There are two metallic artifacts n the left breast, at retroareolar region and 9:00 position, corresponding to the marker clips from prior benign biopsy.Multiple enhancing masses and foci are present in the left breast; the largest mass measures 8 mm at the central part of the breast, likely fibroadenoma. None of them shows suspicious type of kinetic pattern.No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. Multiple benign masses in the left breast. Annual breast MRI is recommended.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter.