57 year old with left breast carcinoma and metastatic left axillary lymph nodes, status post chemotherapy. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.The known carcinoma at posterior 2 o'clock position in the left breast seen on the prior study is no longer visualized. Marker clip is identified at left posterior 2 o'clock position.A proven fibroadenoma is unchanged at posterior 12 o'clock position in the left breast, with a marker clip at anterior aspect.There are again multiple enlarged lymph nodes (at least 9 abnormally enlarged lymph nodes) in the left axilla, although all of them appear reduced in size. Five of the 9 nodes are in the level one region, and three of them are in the level two region. The largest lymph node measures 17 mm in maximum diameter (previously 28 mm).Metallic artifacts from a port-A-cath is seen in the medial upper right breast.No abnormal enhancement is seen in right breast. No abnormal lymph nodes are identified in right axillary region.
1. Complete imaging response of the right breast cancer.2. Interval reduction in size of the multiple abnormal left axillary lymph nodes3. No abnormal enhancement in right breast. 4. No abnormal lymph nodes in right axillary region. BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.