Ms. Adamson is a 58 year old female with biopsy proven malignancy of the right breast, undergoing neoadjuvant chemotherapy. She presents for MRI to assess treatment response. There is scattered fibroglandular tissue in both breasts. Mild background parenchymal enhancement is noted bilaterally.RIGHT BREAST: Susceptibility artifact from biopsy marker clip is identified in the right lateral breast, at site of biopsy-proven malignancy. Other than minimal architectural distortion, there is no abnormal enhancement identified at this area. There is no additional abnormal enhancement seen in the remainder of the right breast.LEFT BREAST: There is no abnormal enhancement seen in the left breast.No abnormal axillary lymph nodes are identified in either axillary region. Vascular port seen in the left medial chest.
(1) No residual enhancement at site of biopsy proven malignancy in the right breast. (2) No MRI evidence of malignancy in the left breast. BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.