64-year-old with strong family history of breast cancer. No current complaints. History of bilateral cyst aspirations. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.In the right upper outer central breast there is a new 5 mm focus of enhancement. Management of this focus was discussed for consensus by two attending breast radiologists. There are a few scattered stable foci and areas of normal edge parenchymal enhancement elsewhere, but none of these are suspicious in appearance. No abnormal axillary lymph nodes are identified in either axillary region.
New focus of enhancement in the right central outer breast. This is relatively low suspicion, however, based on the patients very strong family history and the fact that this is a change compared to the old study, MRI guided biopsy is recommended. Based on the very small size, MRI directed ultrasound is felt to have a low probability of detection for this finding. The result was emailed to Joly Raju. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.