A patient submitted outside study for review. Submitted for review are breast MRI (1/22/15) performed at High Tech Medical Park. Per outside radiology report, the patient has a known left breast cancer. Breast MRI was performed with a protocol outlined in the outside radiology report.There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted in the right breast.A catheter port is placed in the right medial chest wall.In the left breast at lateral aspect, there is an extensive, segmental non-mass enhancement measuring 13 x 7 x 9 cm (AP x LR x CC) with diffuse skin thickening. Within this segmental non-mass enhancement, there are at least 2 irregularly shaped masses measuring 19 x 15 x 15 mm at posterior upper outer quadrant, and 15 x 14 x 11 mm at middle lower outer quadrant. These findings are compatible with patient's known left breast cancer. In the left axilla, there are at least 2 abnormally enlarged lymph nodes in the level 1 region, measuring 28 mm and 18 mm, and one abnormal lymph node at level 2 region, measuring 14 mm.No abnormal enhancement is seen in right breast. No abnormal lymph nodes are identified in right axillary region.
1. Extensive non-mass enhancement with enhancing masses at lateral aspect in the left breast, and diffuse skin thickening, consistent with patient's known left breast cancer. At least 3 abnormal lymph nodes in the left axilla.2. No MR evidence for malignancy in the right breast.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.