27 year old female with palpable lesion in the left breast, for which FNA result was benign, presents for research MRI. There is extreme amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.An irregularly shaped enhancing mass is present at 12 o'clock position in the left breast, measuring 17 x 36 x 20 mm (AP x LR x CC), corresponding to the palpable lesion.There is a slowly enhancing mass at 9 o'clock position in the right breast, measuring 12 x 8 x 7 mm, consistent with fibroadenoma. A small intramammary lymph node is seen in the posterior 9 o'clock position in the right breast. No abnormal enhancement is seen in right breast. No abnormal axillary lymph nodes are identified in either axillary region.
1. Irregularly shaped enhancing mass at 12 o'clock position in the left breast. Ultrasound guided biopsy of this lesion was performed later today.2. No MR evidence for malignancy in the right breast.3. No abnormal axillary lymph nodes in either axillary region.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter.