Ms. Jenkins is a 51 year old female with known left breast cancer (IDC grade III). She presents for MRI staging preoperatively. There is scattered fibroglandular tissue in both breasts. Minimal parenchymal enhancement is noted bilaterally.In the left lower inner breast, approximately 7:00 location, there is patchy enhancement identified measuring approximately 1.6 cm in maximal dimension. Susceptibility artifact from biopsy marker clip is seen in the central aspect of this enhancement, compatible with biopsy-proven malignancy. There is no additional abnormal enhancement seen in the left breast.In the right breast, there is no abnormal enhancement seen. Specifically, there is no abnormal enhancement in the area of the loosely scattered calcifications in the right upper outer breast, as identified on the outside mammogram. No abnormal axillary lymph nodes are identified in either axillary region.
(1) Unifocal malignancy in the left lower inner breast. If breast conservation therapy is desired, biopsy marker clip can be used for targeting.(2) No MR evidence of malignancy in the right breast. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.