73-year-old female with right lower inner quadrant mass, suspicious, family history of breast and ovarian cancer, MRI for screening There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.In the right breast 4:00 position there is an irregularly shaped heterogeneously enhancing spiculated mass measuring 20 x 28 x 18 mm (AP X ML X CC). Medial component of the mass demonstrates more intense homogeneous enhancement with rapid uptake and washout kinetics.No abnormal enhancement is seen in left breast. No abnormal lymph nodes are identified in either axillary region.Septated high signal intensity T2 lesion in segment 4A of the liver most likely represents a cyst or less likely hemangioma.
28 mm enhancing highly suspicious mass right breast 4:00 position corresponding to the mammographic and sonographic findings. Patient will undergo ultrasound-guided core biopsy subsequently.No abnormality in the left breast or bilateral axillary region.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: T - Take Appropriate Action - No Letter.