History of breast cancer and transaminitis with liver lesion seen on ultrasound. Additional history per Epic: left breast reduction/mastopexy for symmetry 8/2/16. ABDOMEN:LUNG BASES: Partially visualized postsurgical changes to the right breast more fully characterized on recent dedicated breast imaging. There is a T2 hyperintense structure within the posterior left breast which measures 2.1 x 3.9 cm and demonstrates a rim of intrinsic T1 hyperintensity as well as possible mild surrounding enhancement. These findings are compatible with postsurgical changes related to breast reduction/mastopexy.LIVER, BILIARY TRACT: The liver parenchyma demonstrates normal signal intensity and enhancement without focal lesions. Specifically, no lesion is identified corresponding with the hyperechoic focus seen on recent ultrasound. The gallbladder appears within normal limits. No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: On the large field-of-view coronal T2 images, there are two T2 hyperintense cystic structures in the left adnexa the largest of which measures up to 3 cm and demonstrates complex features.
1.Normal appearance of the liver without focal lesions.2.Complex cystic structures in the left adnexa measuring up to 3 cm. Though these may be related to a benign etiology, pelvic ultrasound is recommended for further characterization to exclude the possibility of neoplasm.3.Small fluid collection within the left breast likely related to recent mastopexy/reduction.