39 year old with known head and neck cancer, axillary adenopathy, and recent malignant biopsy of the right breast. Mild parenchymal enhancement is noted bilaterally. Scattered fibroglandular tissue is seen.The biopsy proven cancer in the right 10:00 position measures 2.1 x 1.7 x 1.8 cm and contains artifact from the Hydromark biopsy clip. An intramammary lymph node posterior to the mass is of normal size on MRI and had typically normal morphology on ultrasound. There is no significant enhancement near the site of the satellite lesion biopsy. No suspicious enhancement is seen in the left breast. A benign enhancing focus is present in the left outer breast, and has typically benign persistent enhancement when accounting for patient motion.No abnormal axillary lymph nodes are identified in either axillary region. Biopsy clip artifact noted in a left axillary node, obscuring the morphology of that node.
Biopsy proven right breast cancer measures up to 2.1 cm. No new findings requiring additional work up are noted.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.