Family history of breast cancer. Sister with gene mutation. Bilateral nipple discharge, blood on the left. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally. There is mild motion artifact on this exam. A few high T2 cysts are present clustered in the right outer breast.There are bilateral typically benign morphology masses and foci. Many of these are highly likely to be fibroadenomas based on non-enhancing internal septations. The largest probable fibroadenoma measures up to 9 mm in the left upper outer breast at mid-depth. No abnormal axillary lymph nodes are identified in either axillary region.Recommendations below reflect a consensus opinion of 3 attending breast radiologists.
Bilateral typically benign morphology masses and foci, left greater than right. As long as her nipple discharge does not demand intervention based on clinical grounds, a 6 month follow up MRI is recommended to document stability of her masses and foci. BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).