Ms.Maria Weber, 70 year old, submitted outside studies for review. She had a left breast cancer status post excisional biopsy with multiple positive margins and a re-excision.Images performed at Vassar Brothers Medical Center submitted for review: Mammogram 12/15/2015MRI breasts 12/21/2015Images submitted for comparison:MRI breast 4/16/2015Mammogram 2/12/2015 and priors MAMMOGRAM: Three standard views of both breasts were obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Linear markers are placed on the scar overlying the both breasts and right axilla. There are stable new lumpectomy changes present in the left breast, including architectural distortion, increased density, and surgical clips. Benign calcifications are present bilaterally. No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in either breast. MRI breast:Multisequence MRI breast imaging with and without intravenous contrast was performed as per outside MRI breast protocol. The breasts are composed of heterogeneous fibroglandular tissue. There is minimal background parenchymal enhancement bilaterally. There are postsurgical changes, including surgical clips and small seroma, in the posterior left breast, approximately 10:00 position. Susceptibility artifacts and scars are also present in the anterior right breast, approximately 2:00 position. There is no suspicious mass or masslike enhancement in either breast, including the left breast surgical bed. Axillary lymph nodes are unremarkable.
No suspicious findings on mammogram or breast MRI. Expected postsurgical changes in the posterior left breast.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter.