History of right mastectomy in 2006 with autologous reconstruction for ILC. Patient received radiation, chemotherapy and hormonal therapy. History of breast cancer in mother and maternal aunt. The patient is status post right mastectomy with autologous reconstruction. Heterogeneous fibroglandular tissue is present in the left breast.Minimal parenchymal enhancement is noted in the left breast.Right reconstructed breast: Postsurgical changes from a right mastectomy with autologous reconstruction are unchanged. No suspicious enhancing masses or non-mass enhancement is present in the right chest wall or reconstructed breast.Left breast: Stable nodular enhancement is present in the superior left breast anteriorly. Nonenhancing cysts are present. A stable 7 mm intramammary lymph node is present in the far posterior left breast. No suspicious enhancing masses, non-mass enhancement or uniquely enhancing foci are present.No abnormal axillary lymph nodes are identified in either axillary region.
No interval change or MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: ND - Routine Diagnostic Mammogram.