41 year old with history of right lumpectomy in 2007 for invasive ductal carcinoma. Patient received radiation and chemotherapy. Recent mammogram showed an area of asymmetry in the left upper outer quadrant. Mild parenchymal enhancement is noted bilaterally. Scattered fibroglandular elements are noted. Bilateral cysts, left greater than right are noted. Post-surgical distortion in the right outer breast is again seen. No suspicious enhancement is seen in either breast. At the area of concern from the mammogram, a few cysts are present, but no suspicious enhancing lesion is seen. Expected thin rim enhancement around the right breast lumpectomy site is present. There are a few scattered enhancing foci and a 3 mm skin lesion on the inferior left breast but none of these findings are uniquely suspicious. No abnormal axillary lymph nodes are identified in either axillary region. A probable sebaceous cyst is noted in the intermammary cleft.A high T2 signal lesion in the liver is likely a cyst or otherwise another benign lesion such as a hemangioma.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.