35 year old with proven right breast cancer (IDC grade 3) presents for MRI for I-SPY #1. There is extreme amount of fibroglandular tissue in both breasts.Marked parenchymal enhancement is noted bilaterally.The right breast shows diffuse abnormal enhancement, measuring 71 x 97 x 72 mm (AP x LR x CC), consistent with biopsy proven carcinoma. Diffuse skin thickening is also present in the right breast.There are at least five abnormal lymph nodes showing cortical thickening in the right axilla.No abnormal enhancement is seen in left breast. No abnormal axillary lymph nodes are identified in left axillary region.
1. Right proven carcinoma shows diffuse enhancement, almost whole breast, with skin thickening.2. Multiple abnormal lymph nodes in the right axilla3. No abnormal enhancement in left breast. No abnormal axillary lymph nodes in left axillary regionBIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.