63 year old with biopsy proven IDC grade 2 with high grade DCIS in right breast presents for staging MRI. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.RIGHT BREAST:There is an enhancing mass measuring 37 x 20 x 21 mm (AP x LR x CC) at 11 o'clock position in the right breast, corresponding to the biopsy proven cancer. Size of this enhancing mass corresponds to that of asymmetry on the mammogram. A marker clip is identified within this mass, at posterior third aspect.No other abnormal enhancement is present in the right breast. LEFT BREAST:There is a suspicious, clumped linear non-mass enhancement, measuring 20 x 3 x 10 mm at 3 o'clock position.AXILLAE:No abnormal lymph nodes are identified in either axillary region.
1. Biopsy proven carcinoma at 11 o'clock position in the right breast.2. Suspicious, clumped linear non-mass enhancement at 3 o'clock position in the left breast. MRI guided biopsy is recommended.3. No abnormal lymph nodes in either axillary regionBIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.