Patient is status post left lumpectomy and axillary lymph node dissection in 2001 for breast cancer, status post chemotherapy and radiation therapy. BRCA 1 mutation. Breast MRI for surveillance. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.There are stable postsurgical changes in the left breast including volume loss, scarring and skin thickening. There is postsurgical scarring in the left axilla. No abnormal enhancement is seen in either breast. Stable enhancing focus seen in right breast 9:00 position. No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.