38 year old female with a history of right lumpectomy 3/2010 for invasive ductal carcinoma. The patient received neoadjuvant chemotherapy, adjuvant radiation and hormonal therapy. History of benign right medial retro areolar breast biopsy with pathology of fat necrosis and left breast reduction. History of breast carcinoma in maternal grandmother and 2 paternal great aunts. There are motion artifacts.There is heterogeneous amount of fibroglandular tissue in both breasts.A few cysts in the left breast.Moderate parenchymal enhancement is noted bilaterally.There are post lumpectomy changes in the right breast and post reduction changes in the left breast.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.