49 year old female with a personal history of left breast lumpectomy in 2015 for DCIS followed by radiation and hormonal therapy. Family history of breast cancer in mother, diagnosed at the age of 56. She has no breast related complaints. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.There are multiple small cysts in the right breast, and a 1 cm cyst at 12:00 position in the left breast.There is a postsurgical scar in the left breast at posterior 3:00 position with multiple metallic artifacts.Multiple metallic artifacts from benign biopsies are seen in both breasts.There is an enhancing mass measuring 6 x 5 x 8 mm (AP x LR x CC) in the right breast at anterior 3:00 position and an enhancing focus in the right breast at anterior 6:00 position. These lesions appear stable or slightly developed from prior study performed at outside institution on March 18, 2015.No abnormal enhancement is seen in left breast. No abnormal lymph nodes are identified in either axillary region.
1. An enhancing mass and focus at anterior 3:00 position and 6:00 position in the right breast. Because the prior study was performed at outside institution, an accurate comparison of these lesions cannot be performed due to difference in techniques. Therefore six-month follow-up MRI is recommended.2. No mammographic evidence for malignancy in the left breast.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).