The patient submitted outside studies for review. Bilateral breast MRI dated 5/28/2015 from High Tech Medical Park South was submitted. MRI 6/8/2015: MRI images were reviewed on PACS and DynaCAD. According to the MRI report, biopsy of this mass was performed and confirmed the diagnosis of breast cancer. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.There is a 2.3 x 1.7 x 2.1 cm (AP X ML X CC) enhancing mass in the left breast at 5:00 with abnormal clumped linear enhancement and small adjacent enhancing foci extending anteriorly, medially, laterally and slightly posteriorly. Multiple blood vessels extend through this region as well. The total extent of disease in the AP dimension measures 5.3 cm. Susceptibility artifact within the mass is noted, suggestive of a biopsy clip.Normal axillary lymph nodes noted. No abnormal enhancement in the right breast.
1. Biopsy-proven cancer in the left breast at 5:00 with anterior extension as described above, the total extent of disease measuring 5.3 cm. Surgical consultation is recommended. If sampling of the anterior extent of disease is clinically warranted, MR directed ultrasound is recommended for further evaluation and biopsy.2.Recommend submission of outside biopsy images including postprocedural mammogram to document appropriate clip placement.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.