46 years year-old BRCA1 mutation carrier. History of right lumpectomy in 2003 for IDC with medullary features. Patient received radiation and chemotherapy. History of breast carcinoma in sister diagnosed at the age of 28 and ovarian carcinoma in a paternal aunt. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.Post-operative volume loss and scarring in the right breast again noted. No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: ND - Routine Diagnostic Mammogram.