41-year-old with strong family history of breast cancer. Moderate to marked symmetric parenchymal enhancement is noted bilaterally, limiting this exam. Heterogeneously dense fibroglandular tissue is present. Numerous high T2 signal cysts are again seen. No suspicious enhancement is seen in either breast. No uniquely suspicious focus is seen, allowing for the high background enhancement. No abnormal axillary lymph nodes are identified in either axillary region.Presumed hepatic cyst again noted.
No MRI evidence for malignancy. For future screening MRI, please schedule the exams during the second week of the patient's menstrual cycle to minimize the effects of background enhancement. BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram.