Ms. Brosnan is a 50-year-old female with history of bilateral mastectomies in 2012 with implant-based reconstruction for right breast IDC. Patient recently reports trauma to her implants and with subsequent implant shape changes. She presents today for MRI-evaluation to assess implant integrity. The patient is status post bilateral mastectomies with bilateral retropectoral silicone implants. The silicone implants are intact without evidence of intracapsular rupture, extracapsular rupture or associated fluid collection. No abnormal enhancement is seen in the remaining subcutaneous tissues of both breasts.No abnormal axillary lymph nodes are identified in either axillary region.
Postsurgical changes of bilateral mastectomies with implant based reconstruction. No MRI evidence of implant rupture. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter.