Ms. Dazzena is a 60-year-old female with known right breast cancer. She presents today for MRI #2 per ISPY-2 protocol. There is scattered fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.There has been an overall interval decrease in enhancement within the right superior breast, now measuring 4.1 x 6.3 x 3.3 cm (AP x ML x SI), previously measuring 4.7 x 8.2 x 3.9 cm. The overall enhancement pattern and volume of enhancement has decreased when compared to the prior examination. Susceptibility artifact from biopsy marker clip is reidentified in the medial aspect of this clumped nonmass enhancement (adjacent to the right 3:00 mass). There continues to be diffuse skin thickening present about the entire right breast, measuring up to 7 mm in thickness.There is no abnormal MR enhancement identified in the left breast.There has been an interval decrease in size of previously enlarged right axillary lymph nodes, the reference node now measuring 1.1 cm, compared to 1.9 cm. There are no abnormal axillary lymph nodes in the left axillary region.A dual-lumen Port-A-Cath is noted in the left chest wall.
(1) Overall decrease in size/enhancement of multicentric disease within the right breast and decrease in size of right axillary lymph nodes.(2) No MRI evidence of malignancy in the left breast.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.