Biopsy proven right breast foci of ADH diagnosed in January 2014. History of breast cancer in paternal grandmother and maternal great aunt. Mild parenchymal enhancement is noted bilaterally. Heterogeneous fibroglandular densities are present bilaterally.Right breast: In the lateral aspect of the right retroareolar region, multiple ring enhancing masses are present, corresponding to calcifications seen on mammography. In addition, a discrete 6-mm enhancing mass is present in the mid depth of the right breast at 9 o'clock. MRI directed ultrasound of the right retroareolar region and right 9 o'clock position is recommended for further evaluation. No abnormal enhancement is present at the site of biopsy proven ADH.Left breast: Two discrete low suspicion enhancing masses are present in the left breast, one in the left upper outer quadrant measuring 8 mm in diameter. The second lesion is located inferior and posterior to the larger lesion measuring 5 mm in diameter. MR directed ultrasound of both of these lesions is also recommended.No abnormal axillary lymph nodes are identified in either axillary region.
Multiple bilateral enhancing masses, the most suspicious in the right retroareolar region. MR directed bilateral breast ultrasound is recommended for evaluation. Any suspicious ultrasound findings could be biopsied under ultrasound guidance.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: E - Additional Mammo/Ultrasound Workup Required.