History of right breast DCIS and lumpectomy with positive margins, patient declined mastectomy, additional biopsy also positive for DCIS (in March 2013), presents for MRI surveillance There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.Clip artifact identified in the right breast 8 o'clock position anterior depth. Few enhancing foci seen in both breasts, none of them are uniquely enhancing. No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 6 - Known cancer.RECOMMENDATION: B - Surgical Consultation.