Ms. Tomaszewski is a 42 year old female with a personal history of Hodgkin's lymphoma treated with chest radiation. She presents for MRI screening. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.Small amount of fluid is seen in a right retroareolar duct. There is no abnormal enhancement seen in either breast. However, there are numerous punctate enhancing lesions identified in the skin (particularly concentrated in the periareolar region) without discrete associated mass. No abnormal axillary lymph nodes are identified in either axillary region.
(1) No MRI evidence for malignancy in the breasts. (2) Numerous enhancing skin lesions identified, particularly in the periareolar region. Clinical correlation is recommended for further evaluation and management. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.