Ms. Woodard is a 30 year old female with triple negative left breast cancer. She just finished neoadjuvant chemotherapy and presents today for MR imaging to evaluate treatment response. There is extreme amount of fibroglandular tissue in both breasts. Minimal parenchymal enhancement is noted bilaterally.There continues to be an interval decrease in size of biopsy-proven malignancy in the left upper breast, now measuring 0.7 x 0.7 x 0.8 cm (previously measuring 1.4 x 1.1 x 1.5 cm). There is no new abnormal enhancement identified in either breast. No abnormal axillary lymph nodes are identified in either axillary region. A vascular port overlies the right chest wall.
Interval decrease in size of biopsy-proven malignancy in the left breast.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.