Patient is a 48-year-old female with newly diagnosed left breast cancer with metastatic left axillary lymph node. There is scattered fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.In the left breast, approximately 1:00 location, posterior depth, there is a enhancing mass with irregular margin measuring 1.9 x 1.8 x 3.2 cm. A signal void is identified in the central aspect of this mass and is compatible with recent biopsy. The mass is close to the chest wall without definite involvement of the pectoralis muscle. No additional suspicious enhancement is seen in either breast. There is a 1.5 x 0.7 cm enlarged lymph node with cortical thickening in the left axilla. Signal void in this enlarged lymph node is consistent with the biopsy clip. No abnormal lymph nodes are identified in the right axillary region.
Unifocal malignancy in the posterior left breast with metastatic left axillary lymph node.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.