61 year old female with a personal history of left breast lumpectomy for breast cancer in 1997 followed by chemoradiation therapy. BRCA1 positive. Family history of breast cancer in sister and niece. Breast parenchyma is almost entirely fat in both breasts.Minimal parenchymal enhancement is noted bilaterally.There is a new enhancing mass measuring 16 x 10 x 12 mm at posterior 3:00 position in the left breast.No abnormal enhancement is seen in right breast. No abnormal lymph nodes are identified in either axillary region.
A new suspicious mass at posterior 3:00 position in the left breast. MR directed ultrasound study is recommended. If no sonographic correlation is detected, MR guided biopsy should be considered.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: E - Additional Mammo/Ultrasound Workup Required.