Ms. Bailey is a 42 year old female with a recent stereotactic biopsy of the right breast with pathology revealing ADH/FEA. Given this high-risk pathology, an MRI was obtained for further evaluation. There is extreme amount of fibroglandular tissuein both breasts. Moderate background parenchymal enhancement is noted bilaterally, which limits the sensitivity of this examination.Susceptibility artifact from biopsy marker clip is identified in the right lower inner breast at site of prior biopsy. There is subtle linear enhancement seen associated with this clip, likely related to postbiopsy changes. There is no additional abnormal enhancement seen in the right breast or in the left breast. Scattered benign simple cysts are seen bilaterally. No abnormal axillary lymph nodes are identified in either axillary region.
(1) Minimal associated enhancement seen at site of biopsy proven ADH/FEA in the right breast. If surgical excision is performed, the biopsy marker clip can be mammographically targeted for preoperative needle localization placement.(2) No MRI evidence of malignancy in the left breast. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.