Ms. Massarsky is a 61-year-old female with a family history of breast cancer in her sister (diagnosed at the age of 26) and BRCA2 positive. Personal history of benign left breast MR-biopsy in 2009 and benign right breast MR biopsy in 2016 both with pathology of fat necrosis. She has no current breast related complaints. Breast parenchyma is almost entirely fat in both breasts. Minimal parenchymal enhancement is noted bilaterally.Susceptibility artifact from biopsy marker clip is seen in the right superior breast with minimal associated enhancement, compatible with recent benign MR-guided biopsy with subsequent mild hematoma formation. There is also susceptibility artifact from biopsy marker clip in the left lower inner breast, compatible with prior benign MR-guided biopsy. No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary or internal mammary region.
No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram.