Ms. Chernawsky is a 34 year old female with a personal history of left breast lumpectomy in 09/2015 for IDC/DCIS treated with radiation, chemotherapy, and hormonal therapy. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.Expected postsurgical changes are identified in the left breast, including architectural distortion, minimal skin thickening and edematous breast pattern. Expected postsurgical changes are also identified in the left axilla along with a single prominent left axillary lymph node, likely reactive in etiology. There is no abnormal enhancement seen in the left breast.There is no abnormal enhancement seen in the right breast. No abnormal axillary lymph nodes are identified in either axillary region.
Expected postsurgical changes of the left breast. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.