44 year old with imaging detected left breast cancer. Moderate parenchymal enhancement is noted bilaterally, somewhat of a limitation. Heterogeneous fibroglandular tissue is present.Multiple abnormal enhancing masses are present in the left breast. The largest, located near the 6:30 position is adjacent to signal void from a biopsy clip and measures 1.0 x 1.2 x 1.2 cm. Additional masses are present medial and anterior to the mass, measuring 7 mm and 5 mm respectively. The overall extent of these three masses is 4.1 x 3.3 cm. A normal morphology intramammary lymph node posterior to the index lesion may be reactive in etiology. No abnormal enhancement is seen in the right breast. No abnormal axillary lymph nodes are identified in either axillary region. A low left axillary lymph node retains a normal fatty hilum.
1. Multiple left breast masses, including the index 1.2 cm mass, span approximately 4.1 x 3.3 cm. An MRI directed ultrasound for the additional masses can be performed if clinically indicated. 2. No MRI evidence for malignancy in the right breast. 3. No suspicious morphology axillary node. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.