Ms. Wesley is a 47-year-old female with known right breast cancer IDC with lobular features/DCIS and a metastatic right axillary lymph node. She presents today for I-SPY research MRI (#3). There is scattered fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.RIGHT BREAST: There has been interval decrease in size of biopsy-proven malignancy in the right retroareolar region now measuring 3.2 x 2.7 x 3.3 cm (AP x ML x SI), previously measuring 4.2 x 3.7 x 3.9 cm. Biopsy marker clip is located centrally within this malignancy. There continues to be persistent periareolar skin thickening. Multiple benign enhancing masses are unchanged. Biopsy-proven metastatic right axillary lymph node now measures 1.8 x 1.1 cm, previously measuring 2.5 x 1.7 cm. Biopsy marker clip is located centrally within this lymph node. No new abnormal enhancement is identified in the right breast. LEFT BREAST:No abnormal enhancement is seen in the left breast. No abnormal axillary lymph nodes are identified in the left axillary region. Vascular port again present in the left medial chest wall.
Continued reduction in size of known cancer in the right breast and metastatic right axillary lymph node.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.