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 age 44). The patient is participating in a clinical trial of screening high-risk individuals. There is heterogeneous amount of fibroglandular tissue in both breasts. There are patchy areas of enhancement seen in both breasts, compatible with moderate background parenchymal enhancement. No one area of enhancement is more suspicious than the rest. Susceptibility artifact from previously biopsied 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.