56 year old female with history of occult right breast cancer with right axillary metastases (1/35 node positive, ER/PR-) status post right axillary lymph node dissection, chemotherapy and radiation therapy in 2/2010. History of benign left breast biopsy. There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.Stable small non-mass enhancement in the posterior right breast at the level of the nipple. No new or suspicious enhancement.Stable multiple non-uniquely enhancing foci in the left breast. Biopsy artifact and clip artifact in the left central breast from prior benign left breast biopsy. No new or suspicious enhancement.Postsurgical changes of the right axilla. No abnormal lymph node in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.