A patient submitted outside study for review. Submitted for review are breast MRI (1/27/15) performed at Northwestern Memorial Hospital. For comparison, breast MRI (6/25/14), digital mammographic images (5/28/14), ultrasound images of left breast and left axilla (5/28/14) are available. BREAST MRI (1/27/15):Breast MRI was performed with a protocol outlined in the outside radiology report.Diffuse non-mass enhancement measuring 53 x 75 x 95 mm (AP x LR x CC) is seen in the left breast. Diffuse skin thickening is present in the left breast, which is progressed from prior MRI. A marker clip is identified at posterior superior aspect of the diffuse enhancing non-mass enhancement. Per outside radiology report, this is proven malignancy.No abnormal enhancement is seen in right breast. No abnormal axillary lymph nodes are identified in either axillary region.A catheter port is placed in the right medial chest wall.DIGITAL MAMMOGRAPHIC IMAGES (5/28/14):Only CC view of both breasts are submitted.A BB marker is placed at lateral aspect of left breast, denoting the area of palpable concern. There is an ill-defined asymmetry with architectural distortion near the BB marker.No abnormal findings on right CC view.ULTRASOUND IMAGES OF LEFT BREAST AND LEFT AXILLA (5/28/14):An ill-defined hypoechoic mass with maximum diameter of 36 mm is visualized at 1:30 - 2:00 position in the left breast. An additional hypoechoic mass measuring 10 x 7 mm is visualized at 12:00 position in the left breast. In the left axilla, one normal and one borderline lymph node with cortical thickness of 4 mm are visualized.
Diffuse non-mass enhancement and skin thickening of the left breast. Per outside radiology report, biopsy of the left breast lesion revealed malignancy.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.