Ms. Bosby is a 33-year-old female with biopsy-proven left breast cancer presenting for research MRI(I-SPY #3) There is extreme amount of fibroglandular tissue in both breasts. Moderate parenchymal enhancement is noted bilaterally.LEFT BREAST: There has been an interval decrease in size of the known left breast cancer, now measuring 5.7 x 6.1 x 9.8 cm (AP x LR x CC, previously measuring 5.7 x 8.6 x 11.7 cm). In addition, there is an associated decrease in overall enhancement of the tumor, particularly centrally, indicating tumor necrosis. Diffuse edema and skin thickening remains similar to prior examination. A Hydromark clip is identified in the anterior 12:00 position within the known malignancy in the left breast.A known metastatic left axillary lymph node with Hydromark clip now measures 1.4 cm in maximum dimension, previously measuring 1.7 cm.RIGHT BREAST: There is no abnormal enhancement seen in the right breast. Multiple small cysts are present in the right breast. No abnormal axillary lymph nodes are identified in the right axillary region.
Interval decrease in size and enhancement of known left breast cancer and metastatic left axillary lymph node.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.