77 year old female with biopsy-proven IDC grade 3 with DCIS in the right breast 10:00 position. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.There is an enhancing mass with small anterior non-mass enhancement, measuring 22 x 10 x 14 mm (AP x LR x CC), corresponding to the proven cancer with anterior calcifications. A clip artifact is present between the mass and the non-mass enhancement. Fat plane is present between the mass and pectoralis muscle. No other abnormal enhancement is seen elsewhere in the right breast.No abnormal enhancement is seen in left breast. No abnormal lymph nodes are identified in either axillary region.
1. Biopsy proven cancer with small anterior extension in the right breast.2. No abnormal enhancement in left breast3. No abnormal lymph nodes in either axillary regionIf conservation surgery is planned, a single wire localization can be performed for anterior aspect of the calcifications located anterior to the proven cancer. An excision should be made of the whole posterior breast tissue from the wire.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.