BRCA1 mutation carrier. History of breast carcinoma in mother diagnosed at age 65 and a maternal aunt diagnosed in her 60s. A second maternal aunt diagnosed with breast cancer and non-Hodgkin's lymphoma, and a maternal great aunt with breast cancer. History of colon cancer in mother diagnosed at the age of 69 and maternal grandmother. History of bladder cancer in maternal grandfather. Patient has no current breast related complaints. Breasts and axilla:There is heterogeneous amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.Extra mammary findings:The 19 mm high T2 lesion in the right hepatic lobe has gradually increased in size from 11 mm in 2009. Posterior to this lesion is another 7 mm high T2 lesion in the right hepatic lobe, which is stable since 2010. The third lesion in the left hepatic lobe on the prior studies is not well seen on today's exam likely due to the technique differences.
No MRI evidence for malignancy in either breast. 19 mm high T2 lesion in the right hepatic lobe has gradually increased in size since 2009, which is incompletely characterized. The imaging characteristics are suggestive of benign lesions such as a hepatic cyst or hemangioma. However, given it's increase in size, MRI liver protocol is recommended for confirmation. Recommendations were discussed with Dr. Iris Romero at approximately 12:11 PM on 10/29/2015BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram.