55 year old woman family history of breast cancer in twin sister age 50. Patient underwent right breast stereotactic biopsy with pathology results showing flat epithelial atypia and atypical ductal hyperplasia. There is scattered fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.Right breast: Postbiopsy changes are seen in the lower outer quadrant near the 8:00 position which include a small peripherally enhancing fluid collection/hematoma measuring up to 3.9 cm in transverse dimension. Several scattered foci of enhancement are seen not significantly changed from prior exams. No new or uniquely enhancing focus elsewhere in the right breast. Left breast: Several scattered foci of enhancement are seen, no significant change from prior exams. No new or uniquely enhancing focus is seen in the left breast. No suspicious lymph nodes in either axilla.Other: Incompletely characterized T2 bright lobulated lesion in the left hepatic lobe is unchanged dating back to 2010 is highly likely benign such as a cyst.
Post procedural changes of the right breast without MRI evidence for malignancy in either breast. Given the pathology result of ADH on the recent biopsy, surgical consultation remains recommended for discussion of management options. BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.