Known bilateral breast cancers present for staging prior to surgery. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.The proven left breast cancer in the 11:00 position is an irregular mass with suspicious kinetics and measures 2.7 x 1.7 x 2.0 cm. No additional suspicious left breast enhancing lesion.The proven right breast cancer at the 11:00 position measures 2.0 x 1.4 x 1.5 cm. Additionally, there is an 8 mm area of enhancement posterior/medial to the index lesion that is suspicious. Total extent including this finding is up to 4.6 cm. There are mildly prominent but symmetric lymph nodes in each axilla, but none are uniquely suspicious. Note is made that based on this exam, the ultrasound image of concern in the right axilla was most likely an artifact.
1. Proven left cancer measures up to 2.7 cm. No additional suspicious left breast lesion. A six month follow up for the left breast calcifications could be considered given this exam's findings (though if old studies can prove stability, this might not be needed).2. Proven right cancer measures up to 2.0 cm. An additional 8 mm area of enhancement is present posterior/medial to the proven cancer, for an extent of 4.6 cm.3. Symmetric mildly prominent axillary nodes, but no suspicious correlate to the questioned ultrasound finding in the right axilla. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.