Ms. Cohen is a 45 year old female with a personal history of right breast lumpectomy for IDC and axillary lymph node dissection, status post radiation and chemotherapy in 2002. History of left breast reduction and right breast reconstruction in July 2013 and additional right breast reconstruction surgery in the summer 2015. History of MRI guided biopsy of a central right breast enhancing lesion in 2004 with pathology result of fibrotic breast parenchyma. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.Stable postsurgical changes are identified in the right lower inner breast, at site of prior lumpectomy. There is a stable enhancing 10 x 5 x 8 mm lesion (AP x LR X CC) at 12 o'clock in the right breast, mid depth, with a biopsy clip artifact, corresponding to the previously biopsied benign lesion. There is no abnormal enhancement seen in either breast. No abnormal axillary lymph nodes are identified in either axillary region.
Stable postsurgical changes of the right breast. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.