Ms.Mitzie Jennings, 57 years old, submitted outside MRI study performed at Northwestern hospital for review. She was diagnosed with a biopsy-proven right breast cancer. Breast MRI was performed to evaluate the extent of the disease.Images submitted for comparison:Correlate with mammogram 12/21/2015, 12/29/2015 and ultrasound 9/20/2015. Multisequence MRI of both breasts was performed with and without IV contrast as per outside breast MRI protocol.There is scattered fibroglandular tissue in both breasts. There is mild background parenchymal enhancement bilaterally. An enhancing mass with irregular shape and margin is noted in the right breast 12:00 position measuring 1.9 x 1.1 x 2.0 cm (AP x ML X SI), which is consistent with the biopsy-proven malignancy. Susceptibility artifact from the biopsy marking clip is noted in the center of this enhancement. No additional suspicious enhancement is noted in either breast. The bilateral axillary lymph nodes are unremarkable.
2 cm unifocal malignancy in the right breastBIRADS: 6 - Known cancer.RECOMMENDATION: B - Surgical Consultation.