46-year-old BRCA mutation carrier presents for MRI screening study IRB13073B. History of bilateral breast cancer status post right lumpectomy in 2003 for invasive ductal carcinoma and left lumpectomy in May 2012 for invasive ductal carcinoma. Patient received radiation and chemotherapy. Patient had a negative breast MRI on December 18, 2014. History of breast cancer in two sisters, maternal grandmother, maternal aunt and cousin. History of ovarian cancer in mother. No current breast related complaints. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.Right breast: Stable deformity and scarring in the right upper outer quadrant at site of lumpectomy. Diffuse skin thickening is consistent with radiation changes. No new enhancing masses or foci. Left breast: Postsurgical and postradiation changes with deformity and diffuse skin thickening. Interval further decrease in size of the left breast seroma. Stable nonenhancing low T2 signal mass at the 12:00 position of the left breast and left upper outer quadrant fibroadenolipoma.No new areas of enhancement. No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.