67-year-old female status post left lumpectomy for DCIS. There is scattered fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.There are postsurgical changes in the left breast of lumpectomy and axillary lymph node dissection. The seroma cavity measures 6.0 x 3.7 x 3.3 cm (AP x ML x CC). There is residual chronic blood products within the dependent aspect of the cavity. There is mild left breast skin thickening.There is asymmetric clumped non-mass enhancement along the medial, superior and anterior aspects of the seroma cavity which extends to the nipple area. This abnormality measures approximately 3.5 x 1.7 x 1.4 cm (AP x ML x CC).There is a benign-morphology focus within the right central breast.No abnormal axillary lymph nodes noted bilaterally.
Postoperative changes in the left breast and axilla of lumpectomy and lymph node dissection. Non-mass enhancement along the superior, anterior, and medial aspects of the seroma cavity extending to the nipple is suspicious for residual disease, especially given pathologic findings, although postsurgical fat necrosis cannot be entirely excluded.These results were discussed with Dr. Jaskowiak on 7/21/14 at 1045.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.