38-year-old female with history of bilateral breast implants and axillary pain. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.No suspicious enhancement is seen in either breast. Bilateral retroglandular silicone implants are intact. There is some asymmetry in their positioning, but no finding of rupture. A few radiating folds are noted. There is mild thin rim enhancement in the tissue surrounding the right implant, not concerning for malignancy, rather suggestive of mild inflammation. There are mildly prominent but largely symmetric nodes in each axilla, possibly reactive due to the implants.
No MRI evidence for malignancy. Mildly prominent axillary lymph nodes are probably reactive. Enhancement around the right implant suggestive of mild reactive/inflammatory change. BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.