43 year old with proven IDC grade 3 with DCIS grade 3 in right breast, presents for staging MRI. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.A few cysts are present in the posterior right breast.An enhancing mass, a proven carcinoma, is present at anterior 4 o'clock position in the right breast, measuring 15 x 14 x 13 mm (AP x LR x CC). A marker clip is identified at posterior aspect within this mass. Just lateral to this mass, there is a non-mass enhancement, which is a proven IDC with DCIS, measuring 29 x 8 x 21 mm. Inferior part of this non-mass enhancement reaches to the skin. There is a 10 mm hematoma at the anterior-lateral aspect of this non-mass enhancement. A marker clip is at the posterior aspect within this hematoma. Overall size of the mass and non-mass enhancement is 30 x 24 x 29 mm.No abnormal enhancement is seen in left breast. No abnormal lymph nodes are identified in either axillary region.
1. Biopsy proven carcinoma in the right breast. Inferior aspect of the non-mass enhancement reaches to the skin.2. No MRI evidence of malignancy in the left breast or either axillary region.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.