0:01

Our next patient is a 75-year-old

0:03

woman for high-risk screening.

0:05

She had a history of right breast

0:06

cancer about 15 years ago and has a

0:09

strong family history of breast cancer.

0:12

So here's her MIP image.

0:14

Her right breast is smaller than the left

0:19

because she's had a lumpectomy on this side.

0:22

She has some blood vessels that you can see,

0:24

and a few scattered foci of enhancement.

0:26

That's all normal.

0:28

We'll pull up her T1-weighted non-cancerous,

0:31

fat-saturated image and her

0:35

first post-contrast image.

0:39

So you can see here on the right side,

0:43

right upper outer breast, there's a

0:44

linear scar and a lumpectomy site.

0:47

So that was her lumpectomy.

0:50

There's some surgical clips here

0:53

with susceptibility artifact.

0:56

And you can see that there's relatively

1:01

little enhancement at the lumpectomy site.

1:06

And then she also had the interesting

1:08

finding of a mass in the right lateral

1:13

breast, which does not enhance with contrast.

1:16

So a non-enhancing mass

1:19

that's considered benign.

1:22

And then there's not much

1:24

else going on in her breast.

1:27

We would call her breast

1:28

tissue almost entirely fatty.

1:31

There's very little tissue and then a minimal

1:33

to mild background parenchymal enhancement.

1:37

And then the other series showed similar

1:40

findings, but basically benign findings,

1:43

and we will give her a BI-RADS 2.