History of left mastectomy for IDC and DCIS with TRAM reconstruction in 2003. Patient received chemotherapy. Patient has had two percutaneous biopsies in the superior and posterior aspect of the reconstructed left breast, both of which were shown to represent extensive fat necrosis with dystrophic calcifications. There is scattered fibroglandular tissue in the right breast.Mild parenchymal enhancement is noted in the right breast.The patient is status post left mastectomy with autologous reconstruction. No abnormal enhancement is seen in either the right breast or left reconstruction. A few non-suspicious foci in the right breast are stable. Clip artifact and minimal enhancement is seen at the site of proven left reconstruction fat necrosis. No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.