Ms. Valerio is a 30 year old female with a history of chest radiation. Personal history of osteosarcoma, off clinical therapy. There is heterogeneous amount of fibroglandular tissue in both breasts. Marked parenchymal enhancement is noted bilaterally, limiting the sensitivity of MRI.In the right retroareolar region, there is a stable circumscribed mass with benign type kinetics. This was previously evaluated via ultrasound in 2013 and is compatible with a benign fibroadenoma. Stable intramammary lymph node in the medial left breast. There is no abnormal enhancement seen in either breast. No abnormal axillary lymph nodes are identified in either axillary region.Incidental note is made of a T2 hyperintense left lower thyroid nodule, measuring approximately 1.6 cm. This may have been present on prior MRI from 2013, although this is not certain. It is also not seen with certainty on recent CT Chest from 2013.
(1) No MRI evidence for malignancy in the breasts. (2) Left lower thyroid nodule identified. A dedicated US Thyroid exam can be performed if clinically warranted.BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram.