48 year old with a suspicious left breast mass initially detected on screening mammogram, presents for research MRI scan. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.RIGHT BREAST:There are multiple small cysts in the right breast.At posterior 6 o'clock position, there is an oval shaped mass measuring 16 x 12 x 14 mm (AP x LR x CC), with heterogenous enhancement. LEFT BREAST:At posterior 3 o'clock position, there is a spiculated mass measuring 12 x 16 x 10 mm, corresponding to the suspicious mass seen on mammogram and ultrasound.No abnormal lymph nodes are identified in either axillary region.
1. Spiculated mass in the left breast, corresponding to the suspicious mass seen on mammogram and ultrasound. Ultrasound guided biopsy was performed for this mass later today.2. Oval shaped mass at posterior 6 o'clock position in the right breast. MR-directed ultrasound detected a correlate and ultrasound guided biopsy was performed later today.3. No abnormal lymph nodes in either axillary region.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.