Ms. Burbridge is a 40 year old female with recent diagnosis of DCIS of the right outer breast. She presents for MRI for further evaluation. There is scattered fibroglandular tissue in both breasts. Moderate background parenchymal enhancement is noted bilaterally, which limits the sensitivity of this examination. In addition, there is mild motion artifact present bilaterally.Within the limitations provided above (motion artifact + moderate background parenchymal enhancement), there is very small amount of enhancement seen around the biopsy marker clip in the right outer breast, far posterior depth, measuring approximately 1.3 x 1.5 x 0.9 cm (AP x ML x SI). This approximates the mammographically detected calcifications span approximately 1 cm. There is no additional abnormal enhancement seen in the right breast. There is no abnormal enhancement seen in the left breast. No abnormal lymph nodes are identified in either axillary or internal mammary region.
Slightly limited exam due to moderate background parenchymal enhancement and motion artifact. Given this: (1) Unifocal malignancy of the right breast. If breast conservation therapy is desired, that clip can be used for targeting. There are no residual calcifications. (2) No MRI evidence of malignancy in the left breast. BIRADS: 6 - Known cancer.RECOMMENDATION: B - Surgical Consultation.