42-year-old female with multifocal left breast cancer and left nipple discharge. Patient reports left breast lumps have decreased in size and nipple discharge has resolved. LEFT BREAST:There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.Previously seen biopsy proven posterior left axillary tail mass with clip susceptibility artifact has significant decreased in size, measuring 6 x 4 x 5 mm (AP x TR x CC), previously 10 x 8 x 9 mm. Area of non-mass enhancement immediately anterior and slightly superior has also decreased in size, measuring 11 x 3 x 3 mm, previously 16 x 7 x 10 mm (AP x TR x CC).No new enhancement. Previously noted left nipple enhancement has resolved. No abnormal lymph nodes are identified in the left axilla.RIGHT BREAST:No abnormal enhancement is seen in the right breast. No abnormal lymph nodes are identified in the right axilla.
1.Interval decrease in size of left axillary tail mass with clip compatible with patient's biopsy proven malignancy. 2.Interval decrease in size of non-mass enhancement immediately anterior to this mass. 3.Resolution of left nipple enhancement.4.No new enhancing lesion.5.No abnormal lymph nodes bilaterally.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.