Ms. Doyle is a 52-year-old female with a personal history of left breast lumpectomy in 2012 for IDC/DCIS treated with radiation. She has a family history of breast cancer in her mother, diagnosed at the age of 56. There is scattered fibroglandular tissue in both breasts. Mild background parenchymal enhancement is noted bilaterally.There are innumerable new rim-enhancing lesions seen bilaterally, many of which have internal fat density. When comparing to the same-day mammogram, these likely correspond to faint densities seen throughout both breasts, one of which is partially calcified in the left inferior breast. Stable postsurgical changes are identified in the left upper outer breast and left axillary region, consistent with patient's prior surgical history. Stable postsurgical changes of the left axilla are seen. No abnormal lymph nodes are identified in either axillary or internal mammary region.
Multiple new rim-enhancing lesions seen bilaterally, many of which have internal fat density and probably correspond to faint densities seen on the same day mammogram. These findings likely represent new fat necrosis/oil cyst formation. Recommend confirmation of these findings with a bilateral breast ultrasound. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: U - Ultrasound Study Needed - No Letter.