54 year old with history of pleomorphic LCIS status post excision in 2010. History of benign phyllodes tumor and multiple benign bilateral breast biopsies. Strong family history of malignancy; breast cancer in sister, paternal aunt and paternal first cousin, and several other types of cancer in multiple relatives. There is scattered fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.Enhancing foci and a few masses are unchanged in both breasts.T1 high signal fluid in the both retroareolar ducts are again seen.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.