Posted by: Mohammed Abdul Majid ( | 2019/04/30


MRI Breast with contrast

My relative had undergone the below MRI Breast with contrast. Needs expert advice and do we need to for a biopsy is it is risky.MRI Breast with contrast: Clinical Data : Ultrasound done outside showed bilateral two suspicious lesions of BIRADS IV Multiplanar multisequence scans performed. - There are bilateral and innumerable breast cysts of different sizes. The largest in the left breast lower quadrant almost approached 3.5cm with another one in the anterior part of about 3cm. On the right side, the largest one measures about 3cm in the lower part of the breast. - On dynamic subtraction, there is heterogeneous/bilobed area in the left breast almost at 2-3 o' clock 1cm below the skin and almost 3cm deep to the nipple measured about 12mm shows heterogeneous enhancement with two nodular parts could be of bilobed lesion. The outer small nodule of the bilobed lesion lshows restriction on DWI with bright enhancement. It shows wash in and wash out and plateau curve in this region. The smaller nodular component of the lesion which is medially located shows no obvious restriction and no obvious wash out or wash in with type 1 curve. - There are multiple tiny non-mass nodular lesions of 5-6 mm noted in the right breast suggestive of adenosis? Similarly tiny nodular non mass enhancing foci in the left breast. - No evidence of lymph node enlargement around the internal mammary artery - Non specific axillary lymph nodes with no obvious suspicious lymph node enlargement noted. IMPRESSION: - Bilateral multiple different size large breast cysts as described above - An enhancing focal lesion in the left breast almost at 2-3 o' clock, needs refocused ultrasound and probable biopsy - Multiple tiny non mass nodular enhancing foci scattered in both breasts more obvious on the right side of adenosis - For further clinical correlation As advised by the doctor

Expert's Reply


Cancer expert
- 2019/05/02

Dear Mr Majid, it is advised that your relative contact her treating physician to inform her of what type of biopsy he/she intends to use as there are various different types of biopsies. The treating physician should also inform your relative regarding possible risks, etc involved. The result of the biopsy will inform the treating physician regarding a diagnosis and treatment (if any). (MCH).

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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