Ms. Oken is a 48 year old female with a personal history of right simple skin sparing mastectomy with immediate implant based reconstruction in 10/2012 for IDC/DCIS. Recently, patient had a benign right axillary lymph node biopsy in 2015. The patient is status post right skin sparing mastectomy with implant based reconstruction. The silicone implants are unchanged in contour and appearance. Minimal parenchymal enhancement is noted on the left. There is heterogeneous amount of fibroglandular tissue.No abnormal enhancement is seen in the left breast or the reconstructed right breast. No abnormal axillary lymph nodes are identified in either axillary region. A hydromark biopsy clip is seen in a right axillary lymph node, at site of recent benign biopsy.
Stable postsurgical changes of the right breast. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.