Ms. GrayBrodsky is a 74 year old female with screen detected mass seen on mammogram along with a sonographic correlate. She presents for same day MR evaluation and US guided biopsy. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild background parenchymal enhancement is noted bilaterally.In the right upper outer breast, far posterior depth, there is an irregular enhancing mass identified measuring 1.3 x 0.7 x 1.2 cm (AP x ML x SI). This corresponds to the mammographically detected abnormality and will be the target for today's ultrasound-guided biopsy. A few additional foci of enhancement are seen in the right breast, one of which represents a benign intramammary lymph node.There is no abnormal enhancement seen in the left breast. There are a few foci of enhancement seen, none of which are more suspicious than the rest.No abnormal axillary lymph nodes are identified in either axillary region.
(1) 1.3 cm enhancing mass in the right upper outer breast which corresponds to the mammographic and sonographic findings from 5/6/2016. Patient will have a same-day ultrasound-guided biopsy of this area for further evaluation.(2) No MRI evidence of malignancy in the left breast.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. 