Ms. Cool is a 52-year-old female with a personal history of left breast lumpectomy for DCIS in 2014 treated with radiation. Family history of breast cancer in sister (diagnosed at the age of 37) and maternal niece (diagnosed at the age of 39). Of note, patient recently presented with hardness/mass in the left lower inner breast, which was felt to be due to treatment-related changes at the time. There is scattered fibroglandular tissue in both breasts. Minimal parenchymal enhancement is noted bilaterally.Stable postsurgical changes are identified in the left lower outer breast, at site of prior lumpectomy. No abnormal enhancement is seen in either breast. Specifically, there is no abnormal enhancement seen in the left lower inner breast, at site of prior hardness/mass. Stable intramammary lymph node of the right breast. No abnormal axillary lymph nodes are identified in either axillary region.
Stable postsurgical changes of the left breast. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.