Wk 2, Case 3 - Practice

37 year old woman with a history of recently diagnosed left breast cancer. Evaluation for extent of disease.

Summary of Prior Imaging:

Mammography: Patient presents for diagnostic mammogram and US for a palpable abnormality in the upper outer left breast. Diagnostic mammogram demonstrates diffuse coarse heterogeneous and fine pleomorphic calcifications in the upper outer left breast. There is no definite underlying mass.

Ultrasound: Targeted ultrasound of the left breast demonstrates a vague hypoechoic mass with indistinct margins in the left breast at 2 o’clock. In addition, there is mass or densely shadowing area in the left breast at 7 o’clock. An abnormal lymph node is also identified in the left axilla. Biopsies of all of these areas was subsequently performed with ultrasound guidance demonstrating invasive ductal carcinoma at each site in the breast, and metastatic carcinoma in a lymph node. The patient also underwent a biopsy of a mass in the right breast with benign results.

Breast MRI: NA

What is the overall BI-RADS assessment for this case?