Ms. Muzzarelli is a 67 year old female with a personal history of right breast mastectomy in April 2013 for IDC and reduction surgery in the left breast (July 2014). She received radiation chemotherapy and hormonal therapy. Family history of breast cancer in her sister (diagnosed at age 50), maternal cousin (diagnosed at age of 40), maternal aunt and two paternal aunts. There is heterogeneous amount of fibroglandular tissue in the left breast. Mild parenchymal enhancement is noted. Patient is status post right breast mastectomy with DIEP-flap reconstruction.Multiple enhancing foci are identified in the left breast, none of which are more suspicious than the rest. No abnormal enhancement is identified in the left breast.No abnormal enhancement is identified in the right reconstructed breast. Previously identified seroma in the right axillary region is smaller when compared to prior examination.No abnormal axillary lymph nodes are identified in either axillary region.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram. 