A patient submitted outside study for review. Submitted for review are breast MRI (11/23/16) performed at outside institution. For comparison, following outside studies are available; Bilateral screening mammogram: 10/7/2016,Left unilateral diagnostic mammogram: 11/1/2016, Ultrasound of left breast: 11/1/2016, Ultrasound-guided biopsy of left breast: 11/3/2016, Left unilateral postprocedure mammogram: 11/3/2016. There is a biopsy proven malignancy in the left breast. BREAST MRI (11/23/16):The study was performed with a protocol outlined in the outside radiology report.There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.There is a round artifact from a marker clip at 4:00 position in the left breast. A small enhancing focus (5 x 4 mm) immediately posterior to this clip is a biopsy proven malignancy. No other abnormal enhancing lesions elsewhere in the left breast or in the right breast, except for the scattered parenchymal enhancement. No abnormal lymph nodes are identified in either axillary region.
A small unifocal malignancy in the left breast at 4:00 position, next to a marker clip artifact.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.