25-year-old female with diagnosis of Li-Fraumeni syndrome (P 53 mutation) and high risk for breast cancer There is heterogeneous amount of fibroglandular tissue in both breasts.Marked parenchymal enhancement is noted bilaterally, limiting the sensitivity of MRI.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.
Parenchymal enhancement limits sensitivity of the MRI. Given these limitations, no MRI evidence for malignancy. Annual screening with MRI is recommended. BIRADS: 1 - Negative.RECOMMENDATION: G - Ductography/MRI/Etc.