Ms. Lange is a 48-year-old female with BRCA1 mutation presenting for high-risk breast cancer screening. She has a personal history of right lumpectomy for IDC with medullary features in 2003. She is status post radiation and chemotherapy. She has a family history of breast cancer in her sister diagnosed at age of 28 and ovarian cancer in a paternal aunt. There is scattered fibroglandular tissue in both breasts.Minimal parenchymal enhancement is noted bilaterally.No suspicious enhancement is seen in either breast. Post surgical changes in the right breast and axilla are again noted including volume loss. No abnormal axillary lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.