44 year old with newly diagnosed right breast cancer. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.The biopsy proven cancer in the posterior depth of the right breast at the 12:30 position is seen as a 1.1 x 1.4 x 1.2 cm enhancing mass with internal artifact from the biopsy clip. Located immediately inferior to this mass (3 mm inferior) is a 4 mm enhancing focus. The CC extent inclusive of the adjacent focus is 2.2 cm. A clear fat plane is maintained between the mass, focus and the pectoralis. The mass and focus are both within 4 mm of the pectoralis. No abnormal enhancement is seen in the left breast. A stable normal sized intramammary lymph node in the outer breast is also visible on multiple prior mammograms. No abnormal lymph nodes are identified in either axillary region.A few scattered non-specific high T2 hepatic lesions are noted. These are most likely benign cysts.
Biopsy proven right breast malignancy with an adjacent focus immediately inferior to the proven cancer. No evidence of contralateral disease or axillary metastasis. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.