Ms. Somers is a 65 year old female with history of bilateral breast cancer. She is status post bilateral lumpectomies and sentinel lymph node biopsies in 2012 (right breast invasive ductal carcinoma and DCIS; left breast invasive ductal carcinoma and DCIS). Patient received bilateral XRT. History of left breast cancer in 2004. Status post left lumpectomy, XRT and hormonal therapy. She has a family history of breast cancer in two sisters and ovarian cancer in her mother. There is scattered fibroglandular tissue in both breasts. Minimal parenchymal enhancement is noted bilaterally.Postsurgical changes consistent with bilateral lumpectomies are unchanged in appearance. Susceptibility artifact from biopsy marker clip is again seen in the right inferior breast, at site of prior benign breast biopsy. There is no abnormal enhancement seen in either breast. No abnormal axillary lymph nodes are identified in either axillary region.
Stable postsurgical changes of both breasts. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.