Ms. Victor is a 51-year-old female with a personal history of triple positive right breast cancer (DCIS with microinvasive carcinoma) and metastatic disease in the right axillary lymph node. She presents for MRI breast reevaluation after chemotherapy treatment. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.RIGHT BREAST:There is no residual abnormal enhancement seen in the right breast, which previously measured 7.1 x 8.4 x 11.0 cm (AP x LR x CC).LEFT BREAST:There is no abnormal enhancement see in the left breast. AXILLA:Metastatic right axillary lymph node with centrally located biopsy marker clip now measures 1.1 cm in maximal dimension, previously measuring 1.9 cm. This lymph node has returned to a more benign morphology. No abnormal axillary lymph nodes are identified in the left axillary region.
(1) Complete interval resolution of previously seen diffuse non-mass enhancement in the right breast. Interval decrease in size of metastatic right axillary lymph node.(2) No MRI evidence of malignancy in the left breast.BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Letter.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.