55-year-old female with recently diagnosed right breast cancer (IDC with DCIS), staging evaluation. There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.RIGHT BREAST:There is a 10 x 8 x 11 mm (AP X ML X CC) area of non mass enhancement at the 3:00 position, middle depth, consistent with biopsy-proven breast cancer. There are postprocedural findings related to recent biopsy, including associated clip artifact and biopsy tract. The mass resides approximately 4 mm from the skin. There is an additional focus of enhancement located 14 mm posterolateral to the mass. The total extent of the non mass enhancement, and additional enhancing focus is approximately 2.6 cm.LEFT BREAST:No abnormal enhancement is seen in the left breast. AXILLAE:No abnormal axillary lymph nodes are identified in either axillary region.
Biopsy tract and 11 mm non-mass enhancement consistent with biopsy-proven breast cancer at the 3:00 position of the right breast. Additional enhancing focus approximately 14 mm posterolateral to the index cancer is noted. If breast conservation therapy is planned, generous excision posterior and lateral to the mass is suggested; otherwise, MR guided biopsy can be considered for definitive diagnosis.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.