55 year old with left breast cancer, completed chemotherapy. There is scattered fibroglandular tissue in both breasts. Scattered cysts are noted.Mild parenchymal enhancement is noted bilaterally.There is extensive non-mass and mass like enhancement spanning 9.2 cm AP in the left outer breast. This approaches to within about 1 cm of the nipple (note the nipple projects relatively medially on these images). The largest mass like component is along the posterior aspect of the area of enhancement and measures up to 1.0 cm. The next largest mass measures 0.6 cm in mid depth. The non-mass enhancement is strongest in the anterior depth where a large clumped area measures 2.1 x 1.2 x 2.7 cm. There are additional linear areas of non-mass enhancement and foci of enhancement extending posteriorly towards the region of the masses. Clip artifact from the inferior breast biopsy is seen along the medial aspect of the enhancement. No abnormal enhancement is seen in the right breast. No abnormal lymph nodes are identified in either axillary region. Clip artifact is noted in the 1:00 posterior depth from the second outside biopsy (VISTA image 136). However, only mild enhancement is present adjacent to the clip. A very small lymph node could potentially be present and obscured by the clip artifact, though this is doubtful.
Mass and non-mass like enhancement in the left outer breast spans up to 9.2 cm AP. No abnormal axillary lymph nodes are noted at this time. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.