Ms. Kaparos is a 43-year-old female presenting for high-risk screening MRI evaluation. Family history of breast cancer in mother, sister, and ovarian cancer in maternal grandmother. Patient has a CHEK 2 mutation. There is heterogeneous amount of fibroglandular tissue in both breasts. Moderate to marked background parenchymal enhancement is noted bilaterally, limiting the sensitivity of this examination.Within these limitations of marked background parenchymal enhancement, there is no abnormal enhancement seen in either breast. A few scattered nonenhancing cysts are identified in the left breast.No abnormal axillary lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram.