A patient submitted outside study for review. Submitted for review are breast MRI (5/1/15). Dynamic contrast enhanced breast MRI was performed with a protocol outlined in the outside radiology report. The images could not be processed with our CAD system; therefore, interpretation is limited.There are 2 large enhancing masses in the left breast, one at posterior upper-outer quadrant measuring 47 x 32 mm (AP x LR), and the other at the central left breast measuring 51 x 44 mm. Those 2 masses are proven malignancy, as per outside radiology report. There are additional 2 smaller masses in the left breast, one at middle 3:00 position measuring 8 mm, and the other at anterior lower inner quadrant measuring 10 mm. There are at least 2 abnormal axillary tail lymph nodes located superiorly to the mass at posterior upper outer quadrant, and 2 abnormal lymph nodes in the left axilla. The largest lymph node measures 16 mm located at left axillary tail.No abnormal enhancing lesions in the right breast. No abnormal lymph nodes in the right axilla.
1. Two biopsy-proven cancers with 2 additional small masses in the left breast. Abnormal lymph nodes in the left axilla and left axillary tail.2. No abnormal enhancing lesions in the right breast, no abnormal lymph nodes in the right axilla.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.