70 year old with palpable lump in the right 2 o'clock position, which had been sampled with FNA with palpation guidance and ultrasound guided core biopsy. FNA result was suspicious for malignancy, and the core biopsy result was benign; dense fibrosis with acute and chronic perivascular inflammation and focal fat necrosis. Problem solving MRI is requested. History of right lumpectomy in 2001 followed by radiation and tamoxifen. There is heterogeneous amount of fibroglandular tissue in both breasts.Minimal parenchymal enhancement is noted bilaterally.Post-surgical scar with multiple signal voids by the surgical clips is seen in the right upper inner quadrant.Hydromark clip is identified at 2 o'clock position in the right breast, at the site of recent ultrasound guided core biopsy performed on 5/5/15. No abnormal enhancement is present near the Hydromark clip, or elsewhere in the right breast. No abnormal enhancement is seen in left breast. No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter.