Ms. Kerry is a 40 year old female with a strong family history of breast cancer including mother (diagnosed at the age of 52) and maternal aunt (diagnosed at the age of 48). Patient is BRCA2 positive. There is heterogeneous amount of fibroglandular tissue in both breasts. Moderate background parenchymal enhancement is noted bilaterally.In the left upper inner breast, mid depth, there is an irregular enhancing mass identified measuring 0.7 x 0.4 x 1.0 cm (AP x ML x SI). This was not seen on multiple prior MRI examinations dating back to 2007. Few enhancing foci are seen in the right breast, all of which are stable when compared to multiple prior examinations. There is no new abnormal enhancement seen in the right breast. No abnormal lymph nodes are identified in either axillary or internal mammary region.
(1) 1.0 cm enhancing mass in the left upper inner breast. An MRI-guided biopsy with clip placement is recommended for further evaluation. (2) No MRI evidence of malignancy in the right breast.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. 