A patient submitted outside study for review. Submitted for review are digital mammographic images with tomosynthesis of left breast (2/23/15), ultrasound images of left breast (2/23/15) and breast MRI (3/4/15) performed at Edward Hospital. DIGITAL MAMMOGRAPHIC IMAGES WITH TOMOSYNTHESIS OF LEFT BREAST (2/23/15):The breast parenchyma is composed of scattered fibroglandular elements. Mild skin thickening is noted.No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in the left breast. Port-A-Cath is present in the left upper chest wall.ULTRASOUND IMAGES OF LEFT BREAST (2/23/15):Skin thickening with edema is seen at lower inner - lower outer left breast.No suspicious solid or cystic lesions are present in the provided images.BREAST MRI (3/4/15):The study was performed with a protocol outlined in the outside radiology report.Limited interpretation is made as MR images could not be transferred to our dedicated MR workstation.Status post right mastectomy.Significant artifact is noted at upper part of left breast, by Port-A-Cath.Diffuse edema and mild skin thickening is present within the lower half of left breast.No abnormal enhancing lesions are seen in the left breast or right mastectomy bed.
1. Diffuse skin thickening and edema in the lower half of left breast. Clinical correlation is recommended.2. No mammographic, sonographic evidence for malignancy in the left breast. Within the limited breast MRI study due to significant artifact, no definite evidence of malignancy in left breast or right mastectomy bed.3. Status post right mastectomy.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter.