Ms. Mohanty is a 42-year-old female with recent right breast excisional biopsy demonstrating DCIS (cribriform and papillary type) with several close margins. She presents today for an MRI evaluation postoperatively. Mild parenchymal enhancement is noted bilaterally.Right breast: In the right upper outer breast, post-surgical changes including a 2.1 cm post-operative seroma are identified. Immediately abutting the seroma in both the postero-superior and antero-inferior direction is non-mass-enhancement. The postero-superior component measures approximately 2.5 x 1.4 cm. The antero-inferior component of enhancement measures approximately 0.6 x 0.8 cm. Although this type of enhancement adjacent to the seroma cavity may all represent recent post-operative changes, underlying residual malignancy cannot be excluded. Left breast: No abnormal enhancement is seen in the left breast. No abnormal axillary lymph nodes are identified in either axillary region.
Post-surgical seroma identified in the right upper outer breast with non-mass-enhancement abutting the seroma cavity in both the postero-superior and antero-inferior direction. Although this type of enhancement adjacent to the seroma cavity may all represent post-operative changes from her recent surgery, underlying residual malignancy cannot be excluded. Recommend correlation with final pathology from our own departmental review and surgical consultation with Dr. Chhablani. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.