Known right breast cancer, MRI #2 on protocol. There is heterogeneous amount of fibroglandular tissue in both breasts.Marked parenchymal enhancement is noted bilaterally.The index lesion in the right breast 3:00 position posteriorly has decreased in size now measuring 11 x 10 x 9 mm. Previously it measured 19 x 25 x 25 mm. The biopsied satellite lesion is also decreased now measuring as a 5 mm focus, previously 9 x 9 x 7 mm. AP distance inclusive of these lesions is 4.7 cm. Other satellite lesions are not seen above the level of background enhancement. Enhancement of the skin adjacent to the satellite lesion is likely related to the prior biopsy.The axillary biopsy clip is seen, though all right axillary nodes are normal in morphology at this time. Node associated with the clip measures about 5 mm on the T2 images. No abnormal enhancement is seen in the left breast. No abnormal lymph nodes are identified in left axillary region.
Interval decrease in size of proven index malignancy and satellite lesion. BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.