49-year-old female with left mastectomy and sentinel biopsy in 2004 with reconstruction for invasive ductal carcinoma with tamoxifen with left silicone implant. History of benign right breast MR guided biopsy 2010. RIGHT BREAST:On postcontrast images, mild parenchymal enhancement is seen.No abnormal enhancement is seen in the right breast. A few nonspecific enhancing areas in the central right breast are stable compared to the prior exams, especially prior 3T studies. RECONSTRUCTED LEFT BREAST:No abnormal enhancement is present within the reconstructed left breast. Status post left mastectomy. Left breast silicone implant is intact. Stable skin irregularity is likely post surgical in etiology. No abnormal axillary lymph nodes are identified in either axillary region.
No MRI evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.