Ms. Liu is a 37 year old female with a family history of breast cancer in mother diagnosed at 42 years of age. There is extreme amount of fibroglandular tissuein both breasts.Mild parenchymal enhancement is noted bilaterally.There is an area of non-mass enhancement in the right breast 8-9:00 position, middle depth which measures 16 x 17 x 16 mm (AP x TR x CC). Approximately 5 mm posterior to this area of non-mass enhancement in the right central breast, posterior depth, there is an oval-shaped heterogenously enhancing mass which measures 8 x 5 x 6 mm (AP x TR x CC). The oval-shaped enhancing mass may have nonenhancing septa, although this is incompletely characterized. In total, the area of non-mass enhancement and the oval-shaped enhancing mass measure 2.8 cm in the anterior posterior dimension.No abnormal enhancement is seen in the left breast. No abnormal axillary lymph nodes are identified in either axillary region.
Area of non-mass enhancement in the right breast at the 8-9:00 position, middle depth measuring up to 17 mm. Additional 8 mm oval-shaped mass in the central right breast, posterior depth. Targeted right breast ultrasound is recommended for further evaluation. If no ultrasound correlate is identified, MRI guided biopsy of the non-mass enhancement is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: E - Additional Mammo/Ultrasound Workup Required.