52 year old female with a personal history of biopsy-proven left breast intraductal papilloma with focal atypia. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally. Scattered bilateral enhancing foci are noted, none of which are uniquely enhancing.Within the medial aspect of the left breast, 2 cm from nipple, there is a 4 x 4 x 3 mm (AP x transverse X CC) enhancing focus adjacent to the medial aspect of the clip artifact corresponding to the patient's biopsy-proven papilloma. No significant ductal fluid or dilatation is noted. No additional masses or abnormal enhancement lesions is noted.No abnormal lymph nodes are identified in either axillary region.
Left breast lesion corresponding to the patient's biopsy-proven papilloma without additional mass or suspicious enhancement identified.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.