Ms. Zahiri submitted outside study for review. Submitted for review are:-bilateral breast MRI: 12/14/2016This examination was performed at Dupage Medical Group. Multiple MRI sequences were obtained per outside institutions protocol.There is extreme amount of fibroglandular tissue in both breasts. Mild background parenchymal enhancement is noted bilaterally.In the right upper outer breast, far posterior depth, there is an irregular enhancing mass identified measuring approximately 1.5 x 1.1 x 1.3 cm. Susceptibility artifact from biopsy marker clip is seen at the central aspect of this lesion, compatible with biopsy-proven malignancy. Although this mass abuts against the pectoralis muscle, the muscle itself is of normal contour and enhancement pattern. There is no additional abnormal enhancement seen in the remainder of the right breast or in the left breast. No abnormal lymph nodes are identified in either axillary or internal mammary region.
(1) Unifocal malignancy of the right breast. If breast conservation therapy is desired, the clip can be used as targeting for preoperative surgical guidance.(2) No MRI evidence for malignancy in the left breast. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.