Ms. Zenk submitted outside study for review. Submitted for review is an MRI dated 2/18/2015 performed at Northwestern Memorial Hospital. She has a recent diagnosis of right breast IDC. There are innumerable foci of enhancement seen in both breasts, compatible with marked background parenchymal enhancement. This finding limits the sensitivity of MRI. Right breast: In the right upper outer breast, 10:00 location, there is 1.9 x 2.4 x 2.0 cm spiculated enhancing mass. Susceptibility artifact from biopsy marker clip is present within the central aspect of this lesion, compatible with biopsy proven malignancy. There are no additional abnormal areas of enhancement identified in the right breast. Left breast: There is no abnormal enhancement seen within the left breast. No abnormal axillary lymph nodes are identified in either axillary region.
(1) 2.4 unifocal biopsy proven malignancy within the right upper outer breast.(2) No MR evidence of malignancy within the left breast.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.