43 year old female with BRCA 1 positive, history of ovarian cancer Minimal motion artifact in the left breast. There is heterogeneous amount of fibroglandular tissue in both breasts. Bilateral intact retroglandular saline implants. Mild parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen in either breast. No abnormal axillary lymph nodes are identified in either axillary region.At least 4 high signal intensity oval circumscribed lesions on T2 sequence in the left and right lobe of liver could represent cysts or hemangiomas but given history of ovarian cancer, cystic metastases remains in the differential.
No MRI evidence for malignancy in the breast. At least 4 high signal intensity oval circumscribed lesions on T2 sequence in the left and right lobe of liver could represent cysts or hemangiomas but given history of ovarian cancer, cystic metastases remains in the differential. If patient has obtained prior liver imaging in the form of CT or MRI that can be helpful for comparison. If not, further evaluation can be performed with a liver MRI with contrast for confirmation. Annual screening mammogram is also recommended if patient has not obtained one in the recent year. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram.