57 year old with strong family history of breast cancer. BRCA mutation carrier. History of right lumpectomy with adjuvant radiation therapy for DCIS in 2005. History of a benign MRI guided biopsy for a lesion at the 3 o'clock position in the left breast, performed in July 2012. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen in either breast. Several rounded subcentimeter enhancing foci in the left breast are unchanged in comparison to the prior studies dating back to 6/23/2010 favoring a benign etiology. Postsurgical changes in the right breast. Clip artifact is noted in the left breast near the 3:00 position.  No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.