50 year old with history of right lumpectomy for IDC with DCIS. Dense breasts. Mild parenchymal enhancement is noted in the left breast, and there is moderate enhancement in the right breast. There is mild right breast skin thickening and enhancement. A heterogeneous amount of fibroglandular tissue is present. A few high T2 signal cysts are present in each breast. No suspicious enhancing lesion is seen in either breast. Expected post surgical changes are present in the right outer breast lumpectomy site. No abnormal axillary lymph nodes are identified in either axillary region. Post-surgical changes noted in the right axilla.
1. Diffuse right breast enhancement and skin thickening may relate to post-lumpectomy radiation therapy. Correlation with history and physical exam are recommended.2. No focal suspicious enhancing lesion in either breast. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.