46-year-old female with history of neoadjuvant chemotherapy, left lumpectomy and radiation therapy for IDC in 2015. Prior to these treatment, the patient received a left lumpectomy and complete left axillary lymph node dissection in 2014 at outside institution, but residual left breast cancer and metastatic left interpectoral and left internal mammary lymph nodes were confirmed after surgery. History of benign biopsy of right axillary lymph node. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.There are post-surgical changes at the lower inner left breast.No abnormal enhancement is seen in left breast.No abnormal lymph nodes are identified in left axillary region or left retropectoral region.No abnormal enhancement is seen in right breast. No abnormal lymph nodes are identified in right axillary region.There is a small metallic artifact from marker clip within one of the right axillary nodes.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.