30 year old female with a newly diagnosed left breast cancer (IDC grade 3) presents for breast MRI. There is extreme amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.Multiple benign-appearing enhancing foci and small masses are present bilaterally.In the left breast at posterior 2:00 position, there is a known cancer seen as an enhancing mass, measuring 10 x 15 x 13 mm (AP x LR x CC), with a marker clip inside.No abnormal enhancement is seen in right breast. No abnormal lymph nodes are identified in either axillary region.
1. Unifocal left breast cancer2. No MRI evidence of malignancy in right breast. 3. No abnormal lymph nodes in either axillary region.Follow up MRI in 6 months is recommended for multiple benign-appearing enhancing foci and small masses in both breasts. BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.