A patient submitted outside study for review. Submitted for review is breast MRI (June 11, 2014) performed at Silver Cross Hospital. No other additional studies were submitted for comparison. Bilateral breast MRI was performed without and with gadolinium as per outside hospital protocol.At the 12 o'clock position of the left breast there is an irregular, enhancing mass measuring 1.9 x 2.2 x 2.1 cm, which contains susceptibility artifact from a biopsy clip, compatible with malignancy. Multiple additional masses are noted anterolateral and posterior to the index lesion. Total extent of enhancing masses in the left breast is 7.9 cm AP x 2.7 cm transverse x 4.0 cm CC. A single enhancing, irregular mass is present at the approximate 11 o'clock position of the right breast measuring 1.1 x 0.6 x 1.1 cm. a 0.4-cm enhancing focus is noted 2.3 cm anterior to the index lesion on the right, with intervening mild non-mass enhancement. Total enhancement in the right breast is 3.8 cm AP x 0.7 cm transverse x 1.1 cm CC.Prominent but symmetric lymph nodes are present in both axillary and subpectoral regions. All of the visualized lymph nodes maintain their normal fatty hilum.There is incidental node of cholelithiasis on included, limited images of the upper abdomen.
1.Multiple enhancing masses within the left breast. Index lesion measures 2.2 cm in greatest dimension. Total extent of enhancement in the left breast is 7.9 cm anterior to posterior.2. Irregular 1.1-cm enhancing mass within the right breast with a 4-mm enhancing focus anterior to the index lesion, with intervening non-mass enhancement. Total extent of right breast enhancement is 3.8 cm anterior to posterior.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.