Ms. Perkins is a 60 year old female with a strong family history of breast cancer in three sisters (diagnosed at the ages of 21, 54, and 67 years) and a maternal niece (diagnosed in her 40's). History of bilateral benign biopsies (benign US biopsy of left breast in 2005 and benign MR biopsy of right breast in 2010). She has no current breast related complaints. There is heterogeneous amount of fibroglandular tissue in both breasts. Moderate background parenchymal enhancement is noted bilaterally.Few scattered enhancing foci are identified bilaterally, all of which are stable in distribution and appearance when compared to prior exams. No new abnormal enhancement is seen in either breast. Postsurgical distortion in the left breast and benign biopsy marker clip in the right breast are stable. No abnormal axillary lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram.