50 year old female patient with history of left breast cancer s/p chemotherapy and RT presents for 6 month follow up for non-mass enhancement in the right breast at 2 o'clock position s/p biopsy that demonstrated PASH. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.Clip artifact is identified in the noted along the anterior aspect of the previously seen non-mass enhancement in the right upper inner breast at posterior depth at 2 o'clock position that measures approximately 0.3 x 0.3 cm, previously 1.2 x 0.7 x 1.2 cm (AP x LM x CC). Postsurgical changes in central medial left breast lumpectomy including skin thickening and seroma that measures 6.7 x 1.5 cm is noted that demonstrates homogenous rim enhancement.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.
Postsurgical changes in the left breast. Clip from prior stereotactic biopsy within a tiny residual focus in the right breast 2 o'clock position, which is much smaller in size from prior MRI examination. No further 6 month follow up is recommended.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.