52-year-old female with a highly suspicious mass in the right breast. Status post right breast skin biopsy at periareolar region. There is heterogeneous amount of fibroglandular tissue in both breasts.Marked parenchymal enhancement is noted bilaterally.In the right breast, there is a highly suspicious, lobulated, rim-enhancing mass measuring 24 x 22 x 25 mm at 7 o'clock position.There is a mild skin enhancement for 13 mm at lateral periareolar region in the right breast, consistent with skin biopsy changes.In the right axilla, there is one lymph node (14 mm in diameter) with borderline cortical thickening.No abnormal enhancement is seen in left breast. No abnormal lymph nodes are identified in left axillary region.
1. Highly suspicious mass in the right breast. Ultrasound guided biopsy of this mass was performed later today.2. Borderline suspicious right axillary lymph node. Ultrasound guided biopsy of this lymph node was performed later today.3. No MR evidence of malignancy in left breast or in left axillary region.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: X - No Letter.