Ms. Roy is a 38 year old female with a personal history of right breast lumpectomy in October 2015 for DCIS. She has no current breast related complaints. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen in either breast. Multiple cysts are present bilaterally, the largest one of which measures approximately 1.2 cm in the left superior breast. Stable benign morphology enhancing mass in the left lower inner breast.No abnormal lymph nodes are identified in either axillary or internal mammary region.
No MRI evidence for malignancy. Of note, no recent mammogram is present in our system. If patient has had a recent mammogram performed at an outside institution, than this should be submitted for future comparison purposes. Otherwise, patient is due for a bilateral diagnostic mammogram. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram. 