28 year old with biopsy proven left breast IDC and DCIS, grade 3, with metastatic left axillary lymph node. Status post neoadjuvant chemotherapy, evaluate response There is extreme amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.Interval reduction in the intensity of enhancement at left nipple and periareolar region, measuring 15 x 15 mm, previously measured 22 x 30 mm (LR x CC), consistent with known Paget's disease.Interval reduction in diffuse non-mass enhancement in the left breast, with overall measurement of 48 x 61 x 59 mm, previously measured 60 x 75 x 82 mm (AP x LR x CC). Previously described invasive component/mass is not seen on today's imaging.Two marker clip artifacts are present side by side at far lateral axillary tail in the left breast. In the left axilla, there are two normal morphology lymph nodes measuring 12 and 6 mm respectively, previously measured 19 mm and 13 mm. There is a metallic artifact from marker clip within the larger lymph node. No abnormal enhancement is seen in right breast. No abnormal lymph nodes are identifiedin right axillary region.
1. Moderate interval reduction in the diffuse non mass enhancement of the left breast and that he is able to region.2. Complete imaging response of the invasive component/mass in the lateral left breast.3. Normal morphology left axillary lymph nodes.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.