Ms. Loeher is a 42-year-old female with a personal history of Hodgkin's lymphoma and CML along with a family history of breast cancer in her mother. History of bilateral benign breast biopsies (left breast -- 2010 fibroadenoma surgically excised). She has no current breast related complaints. She is enrolled in the research breast cancer screening study for high risk individuals. There is heterogeneous amount of fibroglandular tissue in both breasts. Moderate background parenchymal enhancement is noted bilaterally.Right breast: In the right lower outer breast, 7:00 location, there is an oval enhancing area measuring 0.9 cm in maximal dimension that does not appear mass-like on sagittal or coronal reformations. This appears unchanged dating back to at least 05/16/2013, favoring a benign process (i.e. prominent fibroglandular tissue). There is no suspicious enhancement seen else where in the right breast.Left breast: There is no suspicious enhancement seen in the left breast. No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. Follow-up should be as per the research protocol.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram.