MRI Breast Bilateral
I'm 47 yr old woman and just had a MRI Breast done. Dont understand there are a lot of things going on. The doctor tells me just to follow up in a yr. Should I seek a second opionion? Thank you. Please read below the findings:
TECHNIQUE: Axial pre- and dynamic post-contrast T1-weighted fat
saturation sequences were performed as well as sagittal T2, axial
T2 fat saturation, body coil coronal STIR and coronal
postcontrast T1-weighted sequences with fat saturation. 3-D and
2-D reconstructions were performed. The images were evaluated
with CADstream software.
The breast parenchyma is heterogeneously dense.
Corresponding to the mammographic asymmetry in the far posterior
central left breast, approximately 14 cm from the nipple, a 1 cm
area of asymmetric
tissue does not demonstrate abnormal enhancement. This area
demonstrates concave margins and is morphologically similar in
appearance to normal appearing glandular tissue.
In the far upper-outer left breast, 16 cm from the nipple, 2
morphologically normal appearing lymph nodes are not
pathologically enlarged, each measuring 9 mm. They demonstrate
normal fatty hila.
Scattered throughout the central left breast, 4 tiny foci of
stippled enhancement measuring 1 to 2 mm are nonspecific but may
represent small foci of adenosis or fibrocystic change. For foci
of this size, enhancement kinetic features may not be useful.
These are asymmetric in number as compared to the right breast.
These foci are best seen on image 55, 46, 90 and 116 on the cad
Tiny scattered hyperintense T1 foci less than 5 mm in diameter
seen in both breasts are consistent with normal appearing
elements. Additionally, subcentimeter nonenhancing T2
hyperintense foci less than 5 mm in diameter seen in the left
greater than right breast are consistent with small cysts. At
least 2 these are seen in the 2:00 position in the left breast,
which likely correspond to the ultrasound findings of cysts.
No suspicious masses, architectural distortion, skin thickening
or nipple retraction is identified.
A lobular focus of enhancement in the inferior sternum which is
T1 hypointense, T2 hyperintense, demonstrates avid enhancement.
It measures 21 x 7 x 13 mm and contains internal punctate foci of
T1 and T2 hypointensity.
A very distended gallbladder is seen on some of the coronal
images, without evidence of intra or extrahepatic biliary ductal
dilation. On the coronal T2 images, a vertical tubular structure
just posterior to the gallbladder likely represents the inferior
BI-RADS 3 : Probably benign, recommend 12 month follow-up breast
magnetic resonance imaging, concurrent with annual mammogram.
1. The area of mammographic abnormality in the far posterior
central left breast 14 cm from the nipple likely represents
normal asymmetric glandular tissue.
2. Tiny foci of stippled enhancement in the central left breast
measuring 1 to 2 mm, are asymmetric in number when compared to
the right breast. While these may represent small foci of
adenosis or fibrocystic change, these findings are nonspecific.
Given the asymmetry compared to the right side, follow-up breast
magnetic resonance imaging is recommended to evaluate for
stability or change of the small enhancing foci.
3. Intensely enhancing lower sternal lesion measuring 21 x 7 x 13
mm, does not have MR characteristics consistent with a
hemangioma. Internal punctate foci of hyperintensity suggest
possible internal calcification suggestive of an enchondroma.
Recommend CT of the sternum for further evaluation, to evaluate
for classic features of enchondroma, versus a more aggressive