Evaluate left breast cancer response to neoadjuvant chemotherapy. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.In the left breast 12:00 position, the known cancer appears centrally necrotic and peripherally enhancing. This now measures 2.3 x 2.2 x 2.2 cm, previously 3.3 cm. The biopsy clip is along the lateral aspect of the mass, and a few foci just lateral to the biopsy clip are also noted to enhance (these are >1 cm from the clip). Previously noted prominent left axillary node is decreased in size. No abnormal enhancement is seen in the right breast. No abnormal lymph nodes are identified in the right axillary region.
Some interval decrease in size of left breast malignancy. Interval decrease in size of a left axillary lymph node.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.