Ms. McDonnell is a 50-year-old female presenting with right breast erythema and palpable mass. She had diagnostic imaging workup on 4/22/2016 which revealed a cyst corresponding to the patient's palpable area of concern. She presents today for MRI for further evaluation of these clinical symptoms. Family history of breast cancer in mother, diagnosed at age of 30. There is heterogeneous amount of fibroglandular tissue in both breasts. There is asymmetric background parenchymal enhancement (right greater than left) noted. The right breast enhancement is seen only within the breast parenchymal tissue and is greater in volume and intensity when compared to the contralateral left breast. However, no one area is more suspicious than the rest. Given clinical history, findings likely reflect mild mastitis versus normal physiological finding. Of note, there is no abnormal skin thickening seen in either breast. Numerous nonenhancing cysts of varying sizes are present bilaterally.No abnormal axillary lymph nodes are identified in either axillary region.
(1) Asymmetric background parenchymal enhancement (right > left) identified, which may reflect mild mastitis versus normal physiological findings. Recommend correlation with clinical history and physical exam findings. (2) No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.