A patient submitted outside study for review. Submitted for review are digital mammographic images (6/5/15, 9/25/15), ultrasound images of right axilla (10/12/15) performed at Regenstein Breast Imaging Center. For comparison, digital mammographic images (8/26/14), ultrasound images of both breasts (8/27/14), breast MRI (8/27/14) are available. DIGITAL MAMMOGRAPHIC IMAGES (6/5/15, 9/25/15):The breast parenchyma is composed of scattered fibroglandular elements (BiRADS Density Category B), unchanged in pattern and distribution. Retropectoral silicone implant appear intact. An oval, focal asymmetry is unchanged at upper outer quadrant in the left breast. No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in the left breast. ULTRASOUND IMAGES OF RIGHT AXILLA (10/12/15):No abnormal findings are present in the provided images.BREAST MRI (8/27/14):Breast MRI was performed with a protocol outlined in the outside radiology report.There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.In the right breast, an irregularly shaped enhancing mass is present at upper inner quadrant, measuring 29 x 24 x 20 mm. The lesion was known to be malignant.No abnormal enhancement is seen in left breast.The patient underwent right mastectomy after this MRI study.
No mammographic evidence of malignancy in the left breast. No abnormal findings sonographic images of left axilla. Diagnostic mammogram of left breast is recommended annually. The next study is due in September 2016.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.