Ms. Bianchi is a 37 year old female with a family history of breast cancer in her mother (diagnosed at the age of 51) and maternal great aunt. Personal history of bilateral silicone implants and BRCA2 mutation carrier. There is extreme amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.Bilateral retropectoral silicone implants are intact. Focal oval to round area with slight high signal on T2-weighted sequence, minimal fat suppression, nonenhancing on postcontrast sequence measuring up to 11 mm identified in the right breast 11:00 position most likely representing area of fat necrosis.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram.