A patient submitted outside study for review. Submitted for review are digital mammographic images of left breast (5/23/16), breast MRI (5/23/16) performed at outside institution. For comparison, digital mammographic images (5/18/15), breast MRI (10/8/14) are available. Per outside radiology report, the patient had right mastectomy in 2014 for invasive ductal carcinoma. DIGITAL MAMMOGRAPHIC IMAGES OF LEFT BREAST (5/23/16):The breast parenchyma is heterogeneously dense (BiRADS Density Category C), unchanged in pattern and distribution. No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in left breast. BREAST MRI (5/23/16):The study was performed per a protocol outlined in the outside radiology report.Status post right mastectomy and a retropectoral silicone implant placement.There is heterogeneous amount of fibroglandular tissue in the left breast.Mild parenchymal enhancement is noted in the left breast.There are stable enhancing foci in the left lower inner quadrant.No abnormal enhancement is seen in left breast or in the right remaining tissue. No abnormal lymph nodes are identified in either axillary region.
No mammographic or MRI evidence of malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter.