Research MRI performed as part of the Alan Penn study. Suspicious right breast findings on mammography and ultrasound. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.There is extensive abnormal enhancement in the right outer breast corresponding to the area of the mass and abnormal calcifications from conventional imaging. Abnormal enhancement measures 6.2 x 4.0 x 2.0 cm (AP x CC X LM). Abnormal enhancement extends to about 1.3 cm from the nipple, similar to the extent of anterior calcifications on the mammograms.No abnormal enhancement is seen in the left breast. A few scattered enhancing foci are present, but none are uniquely suspicious.No abnormal axillary lymph nodes are identified in either axillary region.
Extensive abnormal enhancement in the right outer breast extending up to 6.2 cm AP corresponding to findings from conventional imaging. This enhancement extends to within about 1.3 cm of the nipple. Biopsies were performed after this exam.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: T - Take Appropriate Action - No Letter.