64-year-old female with left-sided bloody nipple discharge found to have a focal asymmetry in the upper outer quadrant of right breast on recent mammogram with a negative ultrasound examination. There is scattered fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally, somewhat of a limitation. There are a few high T2 signal cysts scattered in each breast and a high T1 signal complicated cyst in the left central breast. Note is made of linear increased T1 signal abnormality in the retroareolar region of the left breast compatible with intraductal blood products. No periductal or intraductal enhancement or mass lesions are identified. The high T1 signal within the duct is seen on subtraction images due to slight motion. Note is made of bilateral subcentimeter benign morphology masses in the outer breast compatible with intramammary lymph nodes. No suspicious enhancement is seen in either breast, including at the site of right breast mammographic focal asymmetry. No abnormal lymph nodes are identified in either axillary region.
T1 signal abnormality in the left retroareolar region compatible with intraductal blood products. No suspicious periductal or intraductal enhancement or mass lesions are identified.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.