47 year old woman with history of left axillary lymphadenopathy positive for carcinoma, suspected breast primary. There is scattered fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.There is a large conglomerate of necrotic lymph nodes extending from the left axilla to the left supraclavicular space measuring 5.8 x 7.4 x 7.1 cm (AP x LR x CC). This is associated with edema in the left breast and pectoral muscle along with skin thickening over the left breast. There is an additional abnormal lymph node with absent hilum, measuring 12 mm, in the left axilla. Diffuse parenchymal enhancement is seen without suspicious enhancing lesion in either breast. A few cysts are noted in the right breast. No abnormal lymph node in right axilla.Right medial chest wall port is noted.
1. Necrotic lymph nodes in the left axillary - supraclavicular space.2. No MR evidence of malignancy in either breast.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.