37 year old female with strong family history of breast cancer in her mother in her late 30s as well as maternal grandmother. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.In the left breast at posterior central aspect, there is a new enhancing mass measuring 5 x 7 x 8 mm. No abnormal enhancement is seen in right breast. No abnormal axillary lymph nodes are identified in either axillary region.
New enhancing mass in the left breast at posterior central aspect, for which MR directed ultrasound study is recommended. If no sonographic correlate is detected, MR guided biopsy should be considered. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.