53 year old who is status post excision of left breast cancer with positive surgical margins presents for MRI study. There is scattered fibroglandular tissue in both breasts.Minimal parenchymal enhancement is noted bilaterally.At 2:00 position in the left breast, there is a seroma cavity from recent surgery, measuring 17 x 15 x 24 mm. The seroma contains high signal fluid on T1 weighted images, indicating bloody fluid. Entirely around this seroma, there is a thick rim-enhancement, suggesting residual disease. The rim-enhancement is especially thick at anterior and medial margins, measuring up to 10 mm.No abnormal enhancement is seen in right breast. No abnormal lymph nodes are identified in either axillary region.
1. Status post excision of left breast cancer at 2:00 position in the left breast. Suspicious thick rim-enhancement around the seroma.2. No MR evidence of malignancy in the right breast. 3. No abnormal lymph nodes in either axilla.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.