49-year-old female patient with known right breast invasive ductal carcinoma. Patient is status post bilateral mastectomies with bilateral silicone implants 8/2012 for IDC and DCIS. MRI detected abnormal enhancement in the right breast, subsequently biopsied and found to be invasive ductal carcinoma. Patient is status post neoadjuvant chemotherapy therapy. Status post bilateral mastectomies with bilateral silicone implants.Again seen is a focus of nonmass enhancement in the 6:00 position of the right reconstructed breast abutting the skin in implant which currently measures 2.2 x 0.6 x 0.3 cm (ML X AP X SI), previously 2.5 x 0.7 x 0.4 cm. There is moderate interval decrease in degree of enhancement of this focus compared to prior. A clip is noted within this focus of abnormal enhancement.Again seen is an enhancing intramammary lymph node that measures 6 mm, unchanged and benign in morphology.
1.Minimal interval decrease in size of nonmass enhancement in the 6:00 position of the right breast between the implant and the skin. Additionally, there is moderate interval decrease in intensity of enhancement of the above mentioned area. 2.No new foci of abnormal enhancement identified.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.