47 year old female with suspicious left breast calcifications presents for Alan Penn research MRI. There is extreme amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.There are multiple cysts in both breasts.There is a focal non-mass enhancement at 4:00 position in the left breast, measuring 17 x 12 x 12 mm (AP x LR x CC). This non-mass enhancement corresponds to the area of suspicious calcifications seen on the mammogram.A regional non-mass enhancement is seen at 2:00 position in the left breast, measuring 16 x 20 x 25 mm. This lesion is mammographically occult.No abnormal enhancement is seen in right breast. No abnormal lymph nodes are identified in either axillary region.
1. Suspicious non-mass enhancement in the left breast at 2:00 position and 4:00 position. The lesion at 4:00 position corresponds to the suspicious calcifications, and the lesion at 2:00 position is mammographically occult. Both lesions were detected on ultrasound study performed later today, and a needle biopsy was performed for both lesions.2. No MRI evidence for malignancy in the right. 3. No abnormal lymph nodes in either axillary region. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter.