67 year old with FNA proven left breast cancer for research Alan Penn study. There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.In the left breast, there is an irregularly shaped enhancing mass, measuring 25 x 15 x 18 mm (AP x LR x CC), at 10 o'clock position, consistent with FNA proven malignancy.There is a small round enhancing mass, measuring 6 x 6 x 5 mm, at 2 o'clock position in the left breast.An enlarged lymph node with thickened cortex is present in the left medial axilla, measuring 18 x 15 mm. Other left axillary lymph nodes are normal appearing.Multiple enhancing foci are seen bilaterally, likely parenchymal enhancement.No abnormal enhancement is seen in right breast. No abnormal lymph nodes are identified in right axillary region.
1. FNA proven left breast malignancy at 10 o'clock position2. Small round mass in the left breast at 2 o'clock position. MR directed ultrasound study and biopsy was performed later today.3. Abnormal left axillary lymph node4. No MR evidence of malignancy in the right breast or right axillaBIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.