New diagnosed right breast cancer needs further evaluation. Potential for ISPY2 trial Breast parenchyma is almost entirely fatty in both breasts.Minimal parenchymal enhancement is noted bilaterally.RIGHT BREAST: Lobulated heterogeneously enhancing mass with irregular margins corresponding to the index cancer is seen in the right breast 9:00 to 12:00 position with a clip artifact within it measuring 28 x 45 x 38 (AP x ML X CC). Multiple adjacent satellite lesions are identified extending anteriorly to the nipple and superiorly. The largest superolateral satellite is located 6 mm from the index cancer and is at 12:00 position, measuring 10 x 10 x 11 mm (AP x ML X CC). Multiple discontinuous foci/satellites with non mass enhancement is seen extending anteriorly to the nipple over a distance of 55 mm. Total extent of the cancer and satellite and non mass enhancement measures 85 x 45 mm. Enlarged right axillary lymph node measures 27 x 14 mm with some post biopsy change. LEFT BREAST: No abnormal enhancement is seen in left breast. No abnormal lymph nodes are identified in left axillary region.
Biopsy proven cancer right breast with multiple satellites and non mass enhancement extending superoanteriorly to the nipple over a distance of 85 mm. Enlarged metastatic right axillary lymph node. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.