Ms. Bianchi is a 37 year old female with a family history of breast cancer in her mother (diagnosed at the age of 51) and maternal great aunt. Personal history of bilateral silicone implants and BRCA2 mutation carrier. There is extreme amount of fibroglandular tissue in both breasts. There are multiple enhancing foci seen bilaterally, compatible with moderate background parenchymal enhancement. No one focus is more suspicious than the rest. Bilateral retropectoral silicone implants are intact. There is no abnormal enhancement seen in either breast. No abnormal axillary lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. 