42 year old with history of BRCA2, status post prophylactic mastectomies with history of incidental left DCIS at time of mastectomies. New palpable area of concern in the left lateral breast, not well characterized on ultrasound. The patient is status post bilateral mastectomies with implant reconstructions, and no clear residual fibroglandular breast tissue. No suspicious enhancement is seen in either breast reconstruction. There are bilateral circumscribed mixed T2 signal lesions in each medial breast compatible with bilateral oil cysts. The larger of these have central high signal compatible with fat. No suspicious enhancing lesion is seen laterally in the left breast at the area of clinical concern or elsewhere.No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. Bilateral oil cysts. BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.