Ms. Juneja is a 41 year old female with biopsy proven high-grade DCIS in the right breast and biopsy proven fibroadenoma in the left breast. Multiple scattered foci of enhancement are seen in both breasts, compatible with moderate portable enhancement bilaterally.Right breast: In the right breast, 1 o'clock position, there is a 1.9 cm spiculated enhancing mass with adjacent post biopsy change. Susceptibility artifact from biopsy marker clip is present within the central aspect of this lesion. No additional abnormal enhancement is seen within the right breast. No abnormal axillary lymph nodes are identified in the right axillary region.Left breast: In the left breast, 3 o'clock position, there are expected biopsy related changes seen. Susceptibility artifact from biopsy marker clip is present in this area, compatible with previously biopsied fibroadenoma. There is no abnormal enhancement seen in this area or within the rest of the left breast.No abnormal axillary lymph nodes are identified in the left axillary region.
1.Unifocal biopsy proven malignancy within the right breast. If breast conservation therapy is desired, this area can be localized via seed or wire localization.2.Benign biopsy proven fibroadenoma within the left breast.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.