Ms. Pierre is a 56-year-old female presenting with a screen detected mass in the right breast for which she will get an ultrasound-guided biopsy after MRI. She also has high probability benign calcifications of the left breast for which a six-month follow-up has been recommended. There is heterogeneous amount of fibroglandular tissue in both breasts. Moderate background parenchymal enhancement is noted bilaterally, which limits the sensitivity of this examination.In the right lower outer breast, 8:00 location, there is an irregular enhancing mass identified measuring approximately 2.2 x 2.1 x 2.2 cm (AP times ML times SI). This corresponds to the mammographically detected mass in the right lower outer breast. There is no additional abnormal enhancement identified in the right breast.In the left lower outer breast, there is a 0.4 cm enhancing focus identified. This corresponds in location to the mammographically identified cluster of high probability benign calcifications, likely representing fibroadenomatous type calcifications. There is no additional enhancement seen in the left breast.No abnormal axillary lymph nodes are identified in either axillary region.
(1) 2.2 cm irregular enhancing mass in the right lower outer breast, corresponding to the mammographically detected mass. Patient is scheduled for an ultrasound-guided biopsy immediately following this MRI.(2) 0.4 cm enhancing focus identified in the left lower outer breast, corresponding in location to the mammographically identified cluster of high probability benign calcifications. This likely represents fibroadenomatous type calcifications. A short-term 6 month mammographic follow-up is recommended in order to confirm benignity of these findings.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.