69-year-old female with suspicious cluster of calcifications in the right breast presents for research MRI (Alan Penn study). There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.In the right breast, there is a focal non-mass enhancement, measuring 10 x 7 x 11 mm (AP x LR x CC), at posterior 2:00 position, corresponding the area of suspicious calcifications.In addition, there is a small enhancing mass, measuring 7 x 7 x 10 mm, at posterior 10:00 position in the right breast.No abnormal enhancement is seen in left breast. Axillary lymph nodes are mildly large bilaterally, but there is no uniquely enlarged lymph nodes in either axillary region.
1. Suspicious non-mass enhancement in the right breast at posterior 2:00 position, corresponding the area of suspicious calcifications on the recent mammogram. Stereotactic biopsy was performed for the calcifications later today.2. A small enhancing mass in the right breast at posterior 10:00 position. Ultrasound-guided biopsy was performed for this mass later today. 3. No MRI evidence of malignancy in left breast. 4. No abnormal lymph nodes in either axillary region.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter.