41 year old woman with newly diagnosed breast cancer. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.The index right breast lesion is an oval, enhancing mass located in the central right breast at the 9:00 position, measuring 2.2 x 1.6 x 1.4 cm in size. Susceptibility artifact inside this lesion represents a biopsy clip. Satellite masses surround the index lesion in close proximity with a 7 mm lesion superolaterally and additional, smaller lesions superiorly. The extent of non-mass enhancement surrounding the index lesion in the right lateral breast measures 8.2 x 3.4 cm and extends from the chest wall to 1.9 cm posterior to the nipple. The non-mass enhancement is primarily inferior to the index mass. An enlarged right axillary lymph node is seen measuring 1.5 x 1.0 cm and appears abnormal in morphology.No suspicious foci of abnormal enhancement are noted in the left breast. Left axillary lymph nodes are unremarkable.There is a trace right pleural effusion.
1.Right breast cancer measures up to 2.2 cm and has surrounding satellite lesions.2.Extent of right breast non-mass enhancement measures up to 8.2 cm.3.Enlarged right axillary lymph node with abnormal morphology.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.