55 year old with FNA proven carcinoma at 2 sites in the right breast (3 and 9 o'clock position) presents for MRI evaluation. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.RIGHT BREAST:Following multiple suspicious lesions (all measurements: AP x LR x CC) are present;An irregularly shaped enhancing mass (21 x 19 x 14 mm) at anterior 3 o'clock positionAn irregularly shaped enhancing mass (19 x 16 x 16 mm) at posterior 9 o'clock positionA round enhancing mass (10 x 9 x 10 mm) with ill-defined margins at posterior 12 o'clock positionEnhancing subcentimeter masses at posterior 3 and 8 o'clock positionLEFT BREAST:No abnormal enhancement is seen in left breast. AXILLAE:No abnormal lymph nodes are identified in either axillary region.
Multicentric cancer in the right breastBIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.