Ms. Rudolph is a 52 year old female with known right breast malignancy currently undergoing neoadjuvant therapy. She presents for MRI to evaluate for treatment response. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.Susceptibility artifact from biopsy marker clip is identified in the right superior breast, at site of biopsy-proven malignancy. However, there is no residual abnormal enhancement seen at this location. There is no abnormal enhancement seen in the remainder of the right breast or the left breast. No abnormal lymph nodes are identified in either axillary or internal mammary region.
Complete imaging response of biopsy proven malignancy in the right superior breast. Clip was appropriately placed at time of diagnosis. If breast conservation therapy is desired, a single wire can be placed in the right breast for preoperative surgical guidance.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.