Breast density pattern: Type C (heterogenous dense breast fibroglandular pattern).
Background enhancement: mild to moderate.
There is a spiculated lesion at lower inner quadrant which show low to intermediate signal intensity on T1WI, T2WI, heterogenously enhanced post contrast and restricted diffusion on DWI. It measures 1.4 cm x 1.5 cm.
Presence of abnormal dilated vessels adjacent to the lesion suggestive of neovascularity.
Multiple enhancing smaller satellite lesions seen adjacent to the above describe lesion and extending along the duct distribution to the nipple.
Multiple enhancing right axillary lympahdenopathies. Overlying skin and nipple-areolar complex are also enhanced.
Features are in keeping with multicentric multifocal malignant right breast lesions with metastatic axillary lymphadenopathies. BIRADS 6 (HPE proven).