Reason: S/P L breast lumpectomy for Phyllode's/ADH. There is a heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally. There is asymmetrically increased background parenchymal enhancement in the left lower outer breast, at the site of previous surgical excision. No seroma cavity is seen. No abnormal enhancement is seen in the right breast. No abnormal axillary lymph nodes are identified in either axillary region.
Slightly increased background enhancement in the surgical bed in the left lower outer breast, compatible with postsurgical change. No MRI evidence for malignancy. If clinical examination remains benign, the patient may continue routine high risk screening with annual mammogram and MRI, presuming she has >20% lifetime risk.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.