Ms. Horton is a 54 year old female with a personal history of left breast lumpectomy in 2011 for DCIS followed by radiation therapy. Patient is BRCA 2 gene mutation positive. She has no current breast related complaints. Biopsy proven fibroadenoma at the 7:00 position of the right breast. There is heterogeneous amount of fibroglandular tissue in both breasts. Moderate parenchymal enhancement is noted bilaterally. Post lumpectomy changes are noted in the left medial breast. Susceptibility artifact from surgical clips are also noted. Previously described 6 mm enhancing mass is stable at the 12:00 position of the right breast. The biopsy proven fibroadenoma at the right breast 7:00 position is noted as a benign enhancing focus, also stable from the prior examination.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. Stable postsurgical changes in the left breast. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.