Ms.Narine Kakosyan, 63 years old, submitted outside study for review. Patient is a BRCA2 gene carrier. She is asymptomatic.Images performed at Northwestern Medical Center submitted for review: MRI breast 6/13/2016Images submitted for comparison:None Multisequence MRI breast imaging with and without intravenous contrast ( 6 cc Gadavist) was performed as per outside MRI breast protocol. The breasts are composed of heterogeneous fibroglandular tissue. There is mild background parenchymal enhancement bilaterally. Kinetic analysis of these images was not possible. RIGHT BREAST:In the right breast, 3:00 position, approximately 3.5 cm from the nipple, there is a nonmass enhancement measuring 2.5 x 1 x 1.8 cm (AP x LR x SI). No additional suspicious enhancement is identified in the right breast.LEFT BREAST:No suspicious enhancement in the left breast.AXILLAE: No suspicious axillary lymph node.
RIGHT BREAST: A 2.5 cm nonmass enhancement in the right medial breast, 3:00 position. MRI guided biopsy is recommended for tissue diagnosisLEFT BREAST:No MRI evidence of malignancyBIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter.