53-year-old female with history of MR guided right breast biopsy in 2009 demonstrating FEA and PASH and ultrasound-guided left breast biopsy in May 2014 that showed a fibroadenoma. Strong family history of breast cancer in 3 sisters, mother and maternal grandmother, one sister was tested for BRCA. There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally. Multiple subcentimeter T2 hyperintense cysts are noted throughout both breasts.A Hydromark clip is present at the 2 o'clock position of the left breast, posteriorly. Immediately adjacent to the clip is a 3 mm enhancing focus corresponding to the patient's known biopsy proven fibroadenoma. Multiple enhancing foci in both breasts are mostly unchanged. No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.