A patient submitted outside study for review. Submitted for review are breast MRI (3/16/2015) performed at silver cross. For comparison, prior MRIs dated 5/6/2014 and 10/9/2013 are available. MRI was performed as per outside protocol.Per outside report, the patient is status post bilateral mastectomies. The tissue seen is therefore all compatible with bilateral reconstructions. Multiple signal voids from surgical clips are seen bilaterally. There are bilateral areas of fat density with thin peripheral enhancement compatible with fat necrosis. The largest area is in the right upper breast measuring 6.4 x 7.9 x 6.8 cm. The largest left breast area is located medially and inferiorly, and measures 3.6 x 1.7 x 2.1 cm. A 5 mm focus of enhancement in the right lateral reconstruction near 9:00 is stable compared to priors and likely represents a small intramammary lymph node. No abnormal lymph nodes are identified in either axillary region.
Benign MRI appearance is compatible with bilateral areas of fat necrosis in this patient who is status post bilateral mastectomies and reconstructions.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.