A patient submitted outside study for review. Submitted for review are digital mammographic images of left breast (2/18/15) and breast MRI (2/19/15) performed at . For comparison, digital mammographic images (1/26/15), ultrasound images of left breast (1/26/15) are available. DIGITAL MAMMOGRAPHIC IMAGES OF LEFT BREAST (2/18/15):ML view and magnification views are submitted.An irregularly shaped mass with marker clip is present at 3 o'clock position in the left breast. This is a biopsy proven malignancy. Pleomorphic calcifications are associated with this mass. In addition, there is a small cluster of calcifications, measuring 1.5 mm, located 3 cm medially from the mass.BREAST MRI (2/19/15):The study was performed with a protocol outlined in the outside radiology report.There is heterogeneous amount of fibroglandular tissue in both breasts.Multiple cysts are seen in both breasts.Mild parenchymal enhancement is noted bilaterally.There is an irregularly shaped enhancing mass, measuring 30 x 15 x 20 mm (AP x LR x CC) at posterior 3 o'clock position in the left breast, representing the known carcinoma. Susceptibility artifact from the marking clip is present within the mass. No additional abnormal enhancing lesions are seen in the left breast.No abnormal enhancement is seen in right breast. No abnormal axillary lymph nodes are identified in either axillary region.
1. Biopsy proven cancer in the left 3 o'clock position.2. A small cluster of calcifications is present at 3 cm medially from the known cancer in the left breast. Stereotactic core needle biopsy is recommended.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.