Known left breast malignancy present for I-Spy research MRI. Two areas positive for malignancy in the breast, and additional malignant axillary biopsy. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally. Bilateral retropectoral silicone implants are present.In the left inner breast, the index enhancing mass near 8:00 measures 2.0 x 2.7 x 2.8 cm (LM x CC x AP). Adjacent to this mass are small foci/areas of non-mass enhancement measuring up to 7 mm and extend up to 1.4 cm from the mass. This index mass extends posteriorly close to the thin pectoralis muscle overlying the implant. But there is no definite abnormal pectoralis enhancement. Additionally, there is abnormal non-mass enhancement surrounding a cyst in the lower outer left breast which measures 2.7 x 3.2 x 5.7 cm. These areas together measure 5.2 x 6.5 cm in the axial plane.No abnormal enhancement is seen in the right breast. There are at least 4 enlarged left axillary lymph nodes, including a subpectoral node. A representative node adjacent to the pectoralis minor measures 1.1 x 1.1 cm in the axial plane. A focus of low T1 signal in one of these nodes suggests biopsy clip artifact. No abnormal axillary lymph nodes are identified in the right axillary region.A port-a-cath is present in the right upper chest wall. A high T2 signal hepatic lesion is likely a benign cyst.
Know left breast cancer with left axillary metastasis with pre-treatment measurements as above. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.