58-year-old woman with personal history of right breast cancer status post lumpectomy and sentinel node biopsy in 2014 presents for screening MRI. Patient also received radiation, chemotherapy and hormonal therapy. No current breast related complaints. There is scattered fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.Right breast: There are postsurgical changes of lumpectomy involving the lower inner quadrant which include distortion and scarring. Postsurgical changes sentinel node biopsy are also noted upper-outer quadrant extending into the axilla. No abnormal enhancement is seen. Left breast: There is no abnormal enhancement.Axilla: There is postsurgical scarring in the right axilla. No abnormal lymph nodes are identified in either axillary region.
Postsurgical changes of right lumpectomy and sentinel node biopsy. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.