44 year old with history of right breast DCIS status post lumpectomy and re-excisions with calcifications near the surgical site. Dense breasts. There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate to marked parenchymal enhancement is noted bilaterally, somewhat of a limitation to the study. No abnormal enhancement is seen in either breast, including at the lumpectomy site. Post operative volume loss and low T2 signal scarring is noted at the site of right upper outer breast lumpectomy, though no nodular enhancement is seen at the site of scarring -- and in fact the degree of background enhancement is quite low near the area of scarring. No abnormal axillary lymph nodes are identified in either axillary region. Post surgical change noted in the right axilla.
No MRI evidence for malignancy. No suspicious enhancement near the lumpectomy or elsewhere in either breast. The 6 month mammogram follow up should still be performed based on the appearance of the mammograms. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.