Ms. Martin is a 48 year old female with a personal history of bilateral breast mastectomy with implant-based reconstruction in 2014 for right breast IDC/DCIS. Patient now has a palpable lump in the right upper inner quadrant, which was not definitively characterized on recent diagnostic workup on 08/17/2016. Patient is status post bilateral mastectomy with implant based reconstruction.In the right upper inner breast, abutting the implant, there is a fat-containing, non-enhancing lesion measuring approximately 0.6 cm. MRI findings are compatible with benign fat necrosis. There is no abnormal enhancement seen in either breast. No abnormal lymph nodes are identified in either axillary or internal mammary region. A benign intramammary lymph node is seen in the right lateral reconstructed breast.
Benign fat necrosis of the right breast, likely corresponding to palpable area of concern. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.