History of left lumpectomy for breast cancer. Known right breast mass at 6:00 and bilateral masses/foci elsewhere for which short term follow up is performed. There is scattered fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally. No suspicious enhancement is seen in either breast. Post-operative changes are noted on the lateral left breast and left axilla, including a seroma in the breast. Expected thin peripheral enhancement is present around the seroma. There are again noted to be numerous bilateral small masses and foci, in an overall pattern similar to the prior MRI allowing for the differences in technique between the studies and changes in her left breast pattern related to surgery. This includes a stable mildly enhancing right breast mass at 6:00 measuring 1 cm that was also seen on the recent ultrasound. No abnormal axillary lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. No significant change in numerous bilateral foci and masses in the short term since the MRI from late last year. A 12 month follow up mammogram and MRI are recommended for these findings given her history of malignancy and this appearance. BIRADS: 3 - Probably benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.