70-year-old woman with dense breasts and recently diagnosed triple negative right breast cancer presents for further evaluation. There is heterogeneous amount of fibroglandular tissue in both breasts.Minimal parenchymal enhancement is noted bilaterally.Right breast: In the upper outer quadrant near the 11:00 position, there is a homogeneously enhancing lobulated mass with irregular borders consistent with the biopsy-proven malignancy. Clip artifact is seen along the lateral aspect of this mass. This mass measures approximately 1.5 x 1.8 x 2.3 cm (AP x TV x CC). No additional sites of abnormal enhancement is identified in the right breast.Left breast: No abnormal enhancement is seen in the left breast. Axilla: No abnormal lymph nodes are identified in either axillary region.
Unifocal biopsy-proven right upper outer quadrant malignancy measuring 1.5 x 1.8 x 2.3 cm.No MRI evidence for malignancy in the left breast. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.