47-year-old BRCA mutation carrier presents for MRI screening study. History of bilateral breast cancer status post right lumpectomy in 2003 for invasive ductal carcinoma and left lumpectomy in May 2012 for invasive ductal carcinoma. Patient received radiation and chemotherapy. Family history of breast cancer in two sisters, maternal grandmother, maternal aunt and cousin. No current breast related complaints. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.Stable post-surgical changes in both breasts, and stable fibroadenolipoma in the left breast.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.