69-year-old female with a personal history of left breast lumpectomy in 2005 for DCIS followed by radiation and Arimidex therapy. Family history of breast cancer in her paternal cousin and ovarian cancer in her mother. She has no current breast complaints. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.Stable postsurgical changes from prior lumpectomy are noted in the left retroareolar region. Stable enhancing focus in the left lower outer breast.No abnormal enhancement is seen in either breast. No abnormal axillary lymph nodes are identified in either axillary region.Incidental note is made of a 1.2 x 1.1 cm area in the spleen which has high T2 signal intensity and has remained stable since 2013. This likely represents a benign etiology such as a cyst or hemangioma.
No MRI evidence for malignancy. Stable postsurgical change in the left breast.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram.