43 yo female with left breast 12 o'clock position breast cancer with possible intraductal extension on ultrasound. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.Within the left breast 1 o'clock position, mid depth there is an irregular mass with associated postbiopsy changes and metallic artifact from a marker clip, corresponding with patient's known biopsy proven breast cancer. This mass measures 18 x 18 x 20 mm (AP x TR x CC). Approximately 26 mm inferior to the index mass, there is an additional enhancing mass measuring 7 x 4 x 5 mm (AP x TR x CC). Measuring both masses, entire extent of disease is 45 mm in the craniocaudal dimension.No abnormal enhancement is seen in the right breast. No abnormal lymph nodes are identified in either axillary region.
1.Mass in the left 1 o'clock position, corresponding with patient's known biopsy proven cancer. 2.Additional smaller mass inferior to the index mass, for which MRI-directed ultrasound and possible biopsy is recommended. 3.No abnormal enhancement in the right breast.4.No abnormal lymph nodes in either axilla.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.