Known right triple negative cancer. Biopsy proven axillary metastasis. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild background parenchymal enhancement is noted bilaterally.RIGHT BREAST:In the right upper outer breast, there is an irregular enhancing mass identified measuring 3.0 x 2.5 x 2.3 cm (AP x ML x SI). Susceptibility artifact from biopsy marker clip is seen within this proven malignancy.Again seen extending postero-inferiorly from the index malignancy are multiple additional enhancing masses. The largest extent of the index and satellite masses in an AP oblique projection is 6.3 cm. A hydromark clip is seen inferior and lateral to the index mass, from the prior benign biopsy. In the right axilla, there at least three abnormal morphology lymph nodes with eccentric cortical thickening , the largest of which measures approximately 1.7 cm. One hydromark clip is present within this largest node, and another clip is adjacent to the node.LEFT BREAST:In the left retroareolar region, an oval circumscribed mass with adjacent hydromark biopsy clip artifact and post biopsy changes is present. This area was benign at the outside hospital biopsy.No abnormal axillary lymph nodes are identified in the left axillary region.
Proven malignancy in the right breast and axilla with measurements given above. Numerous satellite lesions are again noted extending inferior and posterior to the index lesion and ultrasound guided biopsy of one of satellites furthest from the index can be performed if clinically indicated. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.