Ms. Noone is a 58 year old female with a personal history of right right breast lumpectomy in 2005 for DCIS treated with radiation and hormonal therapy. Personal history of benign left breast MR guided biopsy in 2012 for intraductal hyperplasia. BRCA mutation carrier. She has no current breast related complaints. There is scattered fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.In the left lower outer breast, posterior depth, there is a developing enhancing mass identified measuring approximately 0.8 x 0.7 x 0.8 cm (AP x ML x SI). Multiple additional enhancing foci in the left breast are stable when compared to multiple prior MRI examinations.Stable postsurgical changes of the right breast from prior lumpectomy. There is no abnormal enhancement seen in the right breast.No abnormal lymph nodes are identified in either axillary or internal mammary region.Incidental note is made of small hiatal hernia.
(1) 0.8 cm developing enhancing mass in the left lower outer breast. An MRI-guided biopsy with clip placement is recommended for further evaluation.(2) No MRI evidence for malignancy in the right breast. All results and recommendations were discussed with Dr. Romero on 12/15/2016.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.