Ms. O'Hara is a 52 year old female with known left breast malignancy. She presents for MRI evaluation as part of the ISPY-2 protocol. There is scattered fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.In the left upper inner breast, there is an irregular heterogenously enhancing mass identified measuring 3.7 x 2.8 x 3.0 cm (AP x ML x SI). Susceptibility artifact from biopsy marker clip is seen within this mass, compatible with known index malignancy. Expected post-biopsy changes are seen extending antero-superiorly from the malignancy.No abnormal enhancement is seen in the right breast. No abnormal lymph nodes are identified in either axillary or internal mammary region.
(1) 3.7 cm index malignancy in the left upper inner breast with appropriately placed biopsy marker clip. (2) No MRI evidence for malignancy in the right breast. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.