47 year old with personal history of left mastectomy in 2003 for IDC with reconstruction. Patient received radiation, chemotherapy, and hormonal therapy. Patient had right breast reduction in 2005. No new breast complaints. History of breast carcinoma in maternal grandmother and maternal great-grandmother. Minimal parenchymal enhancement is noted in the right breast. The patient is status post left mastectomy and autologous reconstruction. No suspicious enhancement is seen in either the right breast or left reconstruction. Stable benign enhancing mass in the right lower outer quadrant compatible with a benign intramammary lymph node. There is a focal area of enhancement in the skin at the 8:00 position of the right breast that measures 8 x 4 mm, not seen on prior examinations.No abnormal axillary lymph nodes are identified in either axillary region.High T2 liver lesions are again noted, likely cysts or hemangiomas.
1.No MRI evidence for malignancy within right breast.2.Focal area of skin enhancement in the 8:00 position of the right breast could represent a focal skin lesion. Recommend correlation with physical exam (which will be performed by Donna Christian) followed by a targeted ultrasound as needed.Findings were discussed with Donna Christian (pager 6871) via telephone by Dr. Kulkarni at 3:44 PM on 12/16/2015.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation. 