Ms. Moran is a 42-year-old female with a personal history of left breast simple skin sparing mastectomy for multifocal IDC/DCIS with immediate reconstruction in 2012. Patient is on Arimidex. Personal history of benign left chest wall biopsy in 2013. Family history of breast cancer in mother, diagnosed at the age of 44. She has no current breast related complaints. RIGHT BREAST:There is scattered fibroglandular tissue in the right breast. Minimal parenchymal enhancement is noted.Scattered foci of enhancement, particularly in the right lower inner breast, are stable dating back to 2012. There is no new abnormal enhancement seen in the right breast. No abnormal axillary lymph nodes are identified in the right axillary region.LEFT RECONSTRUCTED BREAST:Stable postsurgical changes from a left breast mastectomy with reconstruction and left axillary dissection are identified. Previously identified areas of enhancing fat necrosis have decreased when compared to prior examination. There is no new abnormal enhancement seen in the left reconstructed breast. No abnormal axillary lymph nodes are identified in the left axillary region.Multiple enhancing T2 hyperintense lesions in the sternum are stable.
Stable postsurgical changes in the left reconstructed breast. No MR evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.