Ms. Dupree is a 73 year old with recent right pleural biopsy positive for metastatic adenocarcinoma suggestive of breast primary. She presents for MRI evaluation. There is scattered fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.There is no abnormal enhancement seen in either breast. No abnormal axillary lymph nodes are identified in either axillary region. In addition, no abnormal internal mammary lymph nodes are identified.Extensive inflammatory changes are identified in the right hemithorax, including right pleural fluid, pleural thickening and enhancement.Multiple T2 hyperintense, non-enhancing hepatic lesions are seen.
(1) No MRI evidence for malignancy. Specifically, no primary identified to correspond to recent right pleural biopsy results.(2) Extensive right hemithorax findings. Please correlate with recent PET exam and CT scans for detailed information.BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Letter. 