58 year old with suspicious lesion on mammogram and ultrasound in the right breast at 12:30 position. There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.There is a regional non-mass enhancing lesion with architectural distortions at posterior upper inner right breast (12:30 position), measuring 26 x 24 x 28 mm (AP x LR x CC). This enhancing lesion corresponds to the suspicious lesion seen on mammogram and ultrasound.There is an additional enhancing mass, measuring 7 x 10 x 13 mm, at anterior 12 o'clock position in the right breast. No abnormal enhancement is seen in left breast. No abnormal lymph nodes are identified in either axillary region.Port-A-cath is present at right upper chest wall.
1. Suspicious regional non-mass enhancing lesion with architectural distortions at posterior upper inner right breast (12:30 position), corresponding to the suspicious lesion seen on mammogram and ultrasound. Ultrasound guided biopsy of this lesion was performed later today.2. An enhancing mass at anterior 12 o'clock position in the right breast. MR directed ultrasound of this lesion was performed later today and sonographic correlate was detected. Ultrasound guided biopsy of this lesion was performed later today.3. No MR evidence of malignancy in the left breast.4. No abnormal lymph nodes in either axillary region.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter.