41-year-old female with a mass with calcifications in the right breast presents for Alan Penn research study before ultrasound-guided biopsy. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.In the posterior right breast, 10:00 position, there is a circumscribed enhancing mass with high T2 signal intensity, which measures 1 x 1.5 x 1.5 cm (LR x AP X SI). This corresponds to the ultrasound finding. In addition, there is a small subcentimeter mildly enhancing mass in the inferior left central breast that has high internal T2 signal. Most likely this represents a cluster of cysts versus a small fibroadenoma.No additional suspicious enhancement is seen in either breast. No abnormal axillary lymph nodes are identified in either axillary region.
1. 1.5 cm circumscribed enhancing mass with associated T2 high signal intensity in the right breast 10:00 position corresponding to the known mammographic and ultrasound finding. Ultrasound-guided biopsy will be performed today.2. Subcentimeter mildly enhancing mass in the inferior left central breast is likely benign and probably represents a cyst or fibroadenoma. This was further characterized with ultrasound today.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.