Left breast IDC and DCIS status post lumpectomy and complete axillary lymph node dissection in 2010. Patient received radiation, chemotherapy and hormonal therapy. Patient presents for consultation for possible bilateral mastectomy. Personal history of ovarian cancer. History of breast cancer in paternal aunt and cousin. There is heterogeneous amount of fibroglandular tissue in the right breast and scattered fibroglandular tissue in the left breast. Minimal parenchymal enhancement is noted bilaterally.Left breast: Expected postsurgical changes from a lumpectomy and axillary dissection are present. No suspicious enhancing masses, non-mass enhancement or foci are present.Right breast: Susceptibility artifact from a biopsy clip is present at the 8 o'clock position, mid depth. An exophytic skin lesion is present at the 6 o'clock position of the right breast for which clinical correlation is recommended. No suspicious enhancing masses, non-mass enhancement or suspicious foci are present. No abnormal axillary lymph nodes are identified in either axillary region.
Stable postsurgical changes of the left breast. Exophytic skin lesion at the 6 o'clock position of the right breast. Clinical correlation is recommended. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.