Nov 7, 2020 09:38PM
Technique: Pre and postcontrast MR images of both breasts were submitted.
Findings: The breasts are composed of scattered areas of fibroglandular density, showing mild background parenchymal enhancement.
Left breast: Focal susceptibility artifact in the left breast upper inner quadrant, 11:00 axis, middle depth, denoting site of biopsy-proven invasive lobular carcinoma and lobular carcinoma in situ. Extending posteriorly to the biopsy marker there is focal nonmass enhancement, measuring 1.3 x 1.2 x 1.5 cm (T x AP x CC) (axial image 62, series 100; sagittal image 80, series 105) and extending anteriorly to the biopsy marker, there is a 2.0 cm postbiopsy hematoma with peripheral enhancement. In the left breast there are 2 additional minute enhancing masses, one of them slightly irregular with partially indistinct margins at 1:00 axis, middle depth, approximately 1.5 cm inferolateral to the index lesion, measuring 1.0 x 0.6 x 0.6 cm (axial image 57, series 100; sagittal image 58, series 105) the other oval circumscribed in the retroareolar area, anterior/middle depth, approximately 2.5 cm inferolateral to the index lesion, measuring 0.4 x 0.3 x 0.3 cm (axial image 47, series 100; sagittal image 69,series 105), without STIR hyperintense correlates. Benign-appearing intramammary lymph node in the left lower outer quadrant, posterior depth.
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- Focal non mass in segment measuring up to 1.5 cm at site of biopsy-proven invasive lobular carcinoma and lobular carcinoma in situ in the left breast 11:00 axis (extending posteriorly to the biopsy marker).
- §There are 2 additional indeterminate subcentimeter masses in the left 1:00 axis and retroareolar area, for which MRI guided biopsy is recommended, since this masses may be difficult to identify on an ultrasound.
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Nov 7, 2020 09:51PM
It appears they are recommending further testing so they cannot identify what the masses are. It could be a cyst. It looks like you may need an MRI guided one done.
Since it is medically required your insurance will probably cover but you may have copays to be considered as well.
Best wishes to you.
8/2009, IDC, Left, 5cm, Stage IIA, Grade 1, 0/2 nodes, ER+/PR+, HER2-
1/6/2010 Lumpectomy: Left; Lymph node removal: Left
1/14/2010 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
1/29/2016 Femara (letrozole)