Known left breast cancer on neoadjuvant therapy. There is heterogeneous amount of fibroglandular tissue in both breasts.Minimal parenchymal enhancement is noted bilaterally.In the left breast, there is faint residual non-mass enhancement posterior to the Hydromark clip located in the 9:00 mid depth measuring 1.4 cm, but otherwise the breast enhances normally. This includes no enhancement above background at the site of the posterior biopsy clip. No abnormal enhancement is seen in the right breast. A tortuous blood vessel is seen in the medial right breast on the MIP image mimicking an enhancing focus, but is normal in appearance. No abnormal axillary lymph nodes are identified in either axillary region. Right chest wall Port-a-cath is present. Multiple high T2 hepatic lesions are again noted, likely cysts or hemangiomas.
Near complete resolution of abnormal left breast enhancement, with only faint residual non-mass enhancement measuring 1.4 cm posterior to the biopsy clip. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.