Ms. Messmacher is a 45 year old female with left breast lumpectomy in Aug 2016 for DCIS with negative final margins. She presents for MRI imaging evaluation. There is heterogeneous amount of fibroglandular tissue in both breasts. Moderate background parenchymal enhancement is noted bilaterally.In the left upper outer breast, anterior depth, there are minimal postsurgical changes compatible with provided history of left breast lumpectomy. There is no abnormal enhancement identified in the lumpectomy bed or elsewhere in the left breast.There is no abnormal enhancement seen in the right breast. No abnormal axillary lymph nodes are identified in either axillary region.
Expected postsurgical changes of the left breast. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram. 