39-year-old female with a personal history of new diagnosis of DCIS in her left breast presents for MRI breast staging. She does has a family history of breast cancer and prostate cancer in her father. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.RIGHT BREAST:Susceptibility artifact from the biopsy clip is identified in the right breast, approximately 9:00 position, posterior depth, located medial to the biopsy cavity, as noted on post biopsy mammograms. Mild patchy enhancement around the biopsy clip and along the biopsy trajectory likely represents the postprocedure inflammatory change. Extending anteriorly from the biopsy clip are multiple enhancing foci scattered in the upper outer right breast. The total AP extent of the enhancing foci measures approximately 6 cm. The location of these foci correlates with the calcifications in the right upper outer breast on the mammogram. No additional suspicious enhancement is identified elsewhere in the right breast.LEFT BREAST:No abnormal enhancement is seen in the left breast. AXILLAE:No abnormal axillary lymph nodes are identified in either axillary region.
Multiple enhancing foci in the RIGHT upper outer breast extending anteriorly from the biopsy-proven DCIS correlate with the mammographic calcifications. Given the MRI and mammographic correlation, stereotactic biopsy of an anterior cluster of calcification is suggested to evaluate the extent of the disease.No MRI evidence for malignancy in the LEFT breast. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.