Ms. Dieckow is a 57-year-old female with BRCA1 gene mutation and personal history of right breast lumpectomy in 2006 for IDC followed by radiation and chemotherapy. Family history of breast cancer in paternal aunt, paternal great aunt, and paternal great grandmother (diagnosed at the age of 50). There is scattered fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.Stable postsurgical changes are identified in the superior right breast, compatible with stated history of right breast lumpectomy. Multiple scattered foci of enhancement are seen throughout the left breast, appearing similar when compared to multiple prior examinations. No one focus appears more suspicious than the rest.There is no new abnormal enhancement seen in either breast. No abnormal axillary lymph nodes are identified in either axillary region.
Stable postsurgical changes of the right breast. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.