Ms. Amerik is a 29 year old female with a personal history of BRCA1 mutation and a strong family history of breast cancer, including her mother (diagnosed at the age of 48) and a maternal aunt (diagnosed at the age of 44). Personal history of benign MR guided biopsy of right breast in 2011 for fibroadenoma. The patient is participating in a clinical trial of screening high-risk individuals. There is heterogeneous amount of fibroglandular tissue in both breasts. Moderate background parenchymal enhancement is noted bilaterally, limiting the sensitivity of this examination.Susceptibility artifact from biopsy proven fibroadenoma in the right upper outer breast along with associated minimal surrounding residual enhancement is stable. There is no new abnormal enhancement seen in either breast. No abnormal axillary lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. Follow up should be per the research protocol. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram.