Ms. Massarsky is a 61-year-old female with a family history of breast cancer in her sister (diagnosed at the age of 26) and BRCA2 positive. Personal history of benign left breast MR-biopsy in 2009 for fat necrosis. She has no current breast related complaints. Breast parenchyma is almost entirely fat in both breasts. Mild background parenchymal enhancement is noted bilaterally.There is new linear non-mass enhancement identified in the right superior breast, mid depth, measuring approximately 1.4 cm in the AP dimension. There is no new abnormal enhancement seen in the left breast. Susceptibility artifact from prior benign left breast biopsy is stable.No abnormal axillary lymph nodes are identified in either axillary region.
1.4 cm linear non-mass enhancement identified in the right breast. MR-guided biopsy with clip placement is recommended for further evaluation. All results and recommendations were discussed with Dr. Romero on 3/17/2016.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. 