42 year old with dense breasts and family history of breast cancer in 2 aunts and her maternal grandmother. The MRI technologist notes that the patient had difficulty staying still and moved after contrast injection. This is not a significant limitation to this study however.There is heterogeneous amount of fibroglandular tissue in both breasts.Marked parenchymal enhancement is noted bilaterally, which is a limitation to the sensitivity of this study.No suspicious enhancement is seen in either breast. There are a few scattered enhancing foci in each breast, none uniquely suspicious. A normal sized left upper outer breast intramammary lymph node correlates to the node that can be seen on prior mammograms. No abnormal lymph nodes are identified in either axillary region.A fat density area in the superficial right axilla may represent the fat pad versus lipoma noted on the most recent mammogram and ultrasound.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram.