HISTORY: 35 year old high risk woman presented with calculated lifetime risk 31.9%
Summary of prior imaging:
Mammography: Extremely dense breasts, negative
Ultrasound: None
Breast MRI: Normal
FINDINGS
Quality control issues: ☒None ☐Poor/lack contrast bolus ☐Poor fat suppression
☐Susceptibility ☐Movement ☒Other – positioning and field of view
Background Parenchymal Enhancement: Mild
Amount of Fibroglandular Tissue: Extreme fibroglandular tissue
LEFT BREAST
Narrative
There are no suspicious enhancing masses or areas of non-mass enhancement. No axillary or internal mammary lymphadenopathy is seen. There is no abnormal skin, nipple, or pectoralis muscle enhancement.
Left breast lesion 1
Lesion type: Choose an item.
Longest measurement cm. Choose an item Quadrant. Choose an item. Radian. dist from nipple cm from the nipple
BI-RADS: 1: Negative: Routine breast MRI screening if cumulative lifetime risk =>20%
Associated findings LEFT: ☒NONE, ☐Nipple retraction, ☐Nipple involvement, ☐Skin retraction, ☐Skin thickening, ☐Skin invasion-direct, ☐Skin invasion-inflammatory, ☐Pectoral muscle invasion, ☐Chest wall invasion, ☐ Architectural distortion
Non-enhancing findings LEFT: ☒NONE, ☐High ductal signal pre contrast T1, ☐Cyst(s), ☐Hematoma/seroma, ☐Post therapy skin/trabecular thickening, ☐Non-enhancing mass, ☐Architectural distortion, ☐Signal void from clips
Fat containing lesions LEFT: ☒NONE, ☐Fat necrosis, ☐Hamartoma, ☐Post-operative seroma/hematoma with fat
Lymph nodes LEFT: ☒Normal axillary, ☐Signal void from clips, ☐Abnormal axillary, ☐ Abnormal internal mammary
RIGHT BREAST
Narrative
There are no suspicious enhancing masses or areas of non-mass enhancement. No axillary or internal mammary lymphadenopathy is seen. There is no abnormal skin, nipple, or pectoralis muscle enhancement.
Right breast lesion 1
Lesion type: Choose an item.
Longest measurement cm. Choose an item Quadrant. Choose an item. Radian. dist from nipple cm from the nipple
BI-RADS: 1: Negative: Routine breast MRI screening if cumulative lifetime risk =>20%
Associated findings RIGHT: ☒NONE, ☐Nipple retraction, ☐Nipple involvement, ☐Skin retraction, ☐Skin thickening, ☐Skin invasion-direct, ☐Skin invasion-inflammatory, ☐Pectoral muscle invasion, ☐Chest wall invasion, ☐ Architectural distortion
Non-enhancing findings RIGHT: ☒NONE, ☐High ductal signal pre contrast T1, ☐Cyst(s), ☐Hematoma/seroma, ☐Post therapy skin/trabecular thickening, ☐Non-enhancing mass, ☐Architectural distortion, ☐Signal void from clips
Fat containing lesions RIGHT: ☒NONE, ☐Fat necrosis, ☐Hamartoma, ☐Post-operative seroma/hematoma with fat
Lymph nodes RIGHT: ☒Normal axillary, ☐Abnormal axillary, ☐ Abnormal internal mammary
Extramammary findings: None
SUMMARY: Inadequate study
LEFT BI-RADS: 0: Incomplete: Recommend technical repeat
RIGHT BI-RADS: 1: Negative: Routine breast MRI screening if cumulative lifetime risk =>20%
RECOMMENDATIONS: Technical repeat due to positioning and FOV
