Ms. Wolfson is a 43 year old female with newly diagnosed DCIS of the left breast. She presents for MRI staging evaluation. There is scattered fibroglandular tissue in both breasts. Minimal background parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen in either breast. Specifically, there is no abnormal enhancement identified at the site of biopsy proven malignancy in the left breast. No abnormal axillary lymph nodes are identified in either axillary region.Subcentimeter non-enhancing hepatic cyst identified.
(1) No abnormal enhancement at site of biopsy proven malignancy in the left breast. If breast conservation therapy is desired, the biopsy clip/residual calcifications can be used as the target for preoperative surgical guidance. Of note, the clip is slightly inferiorly displaced.(2) No MRI evidence of malignancy in the right breast.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. 