56 year old female with a history of benign right breast biopsy in 05/2015 and bilateral breast reduction in 2011. Strong family history of breast and other cancers. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.A small enhancing mass within the right nipple with a marker clip is again seen and unchanged. Posterior to this mass in the right retroareolar region, again seen is a tortuous ectatically dilated duct with increased T1 signal, consistent with proteinaceous fluid. There is no increase in signal with contrast injection in this duct. Because of the patient's motion during the dynamic study, this T1 high signal fluid is erroneously visualized in the subtraction images due to misregistration.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram.