33 year old presents for research MRI on Alan Penn Study. Research scanning of both breasts was performed with the research protocol. There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.Two enhancing masses are present in the left breast. The known lobulated mass at the 7:00 position measures 2.5 x 1.9 x 1.8 cm. An additional smaller mass at the left 6:00 position that is oval, circumscribed and has a dark internal septation measures 7 x 6 x 7 mm. This is most likely a fibroadenoma. No abnormal enhancement is seen in the right breast. The parenchymal enhancement in each breast aside from the two masses mentioned above is symmetric. No abnormal lymph nodes are identified in either axillary region.
1. Known left breast mass at 7:00 measures up to 2.5 cm. This will be biopsied today.2. Additional mass typical for a fibroadenoma in the left 6:00 position measures up to 0.7 cm. As long as today's biopsy is benign, this additional mass can be followed on ultrasound in 6-12 months. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.