47-year-old BRCA mutation carrier presents for MRI screening study IRB13073B. History of bilateral breast cancer status post right lumpectomy in 2003 for invasive ductal carcinoma and left lumpectomy in May 2012 for invasive ductal carcinoma. Patient received radiation and chemotherapy. History of breast cancer in two sisters, maternal grandmother, maternal aunt and cousin. History of ovarian cancer in mother. No current breast related complaints. There is heterogeneous amount of fibroglandular tissue in both breasts. Moderate parenchymal enhancement is noted bilaterally.Right breast:There are stable postsurgical changes from right lumpectomy in the right upper outer quadrant. Diffuse skin thickening is compatible with history of radiation. No abnormal enhancement is noted in the right breast.Left breast:Stable postsurgical and post radiation changes are again noted in the left breast. The nonenhancing low T2 signal mass in the left breast 12:00 position is stable. The previously noted left upper outer quadrant fibroadenolipoma is also stable. No abnormal enhancement is noted in the left breast. No abnormal lymph nodes are identified in either axillary region. Stable postsurgical changes are noted in the bilateral axillae.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.