72-year-old female with history of left breast intraductal papilloma. Family history of breast cancer in mother at age 56 and sister at 63. She recently had diagnostic mammogram and ultrasound for a complaint of left bloody nipple discharge for 2 days. There is scattered fibroglandular tissue in both breasts. Moderate parenchymal enhancement is noted bilaterally.Dilated ducts are again seen in the anterior left breast. There is an enhancing mass at the 3:00 position of the left breast immediately adjacent to a dilated duct measuring 8 x 4 x 5 cm (AP x ML x CC), previously 8 x 7 x 12 mm (AP x ML x CC), consistent with patient's known biopsy-proven papilloma. Additional enhancing subcentimeter masses and foci on the left are stable.Right retroareolar enhancing mass is nearly unchanged in size measuring 9 x 9 x 6 mm (AP x ML x CC), previously 9 x 10 x 6 mm (AP x ML x CC).No suspicious axillary nodes. There is a questionable hiatal hernia, please correlate with any upper GI symptoms.
Stable bilateral enhancing masses and foci, including a biopsy-proven papilloma at the 3:00 position. No MRI evidence of malignancy. Surgical consultation is recommended for the patient's bloody nipple discharge.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation.