54-year-old female with history of bilateral lumpectomies in 2003 for infiltrating ductal carcinoma and received radiation and chemotherapy, presents for breast MRI to evaluate newly diagnosed left breast cancer. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.A scar from prior surgery is present at upper inner aspect in the right breast and lower outer aspect in the left breast.In the left at 12 o'clock position, there is a regional non mass enhancement, measuring 20 x 17 x 24 mm (AP x LR x CC), which is a biopsy proven malignancy. A marker clip is present at the central aspect of this lesion.No abnormal enhancement is seen in right breast. No abnormal lymph nodes are identified in either axillary region.Probable liver cyst in the right lobe.
1. Biopsy proven left breast cancer.2. No MR evidence for malignancy in the right breast or either axilla.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.