Incidental hepatic lesions detected on breast MRI: Rate of malignancy and implications for utilization

Clin Imaging. 2018 Sep-Oct:51:93-97. doi: 10.1016/j.clinimag.2018.02.001. Epub 2018 Feb 6.

Abstract

Objective: The objective of this study was to determine the rate of malignancy in incidentally detected T2 hyperintense hepatic lesions at breast MRI.

Methods: Incidental hepatic lesions identified during breast MRI, for which abdominal imaging was recommended, were retrospectively analyzed.

Results: Of the hepatic lesions, 97.3% were benign, and 2.7% were malignant, with a significant association between indication for the breast MRI and the malignancy status of the hepatic lesion (Fisher's Exact, P < 0.0142).

Conclusion: Our initial experience suggests the benign nature of incidentally detected T2 hyperintense hepatic lesions at breast MRI in women without a newly diagnosed breast cancer.

Keywords: Breast MRI; Hepatic lesions; Incidental findings.

MeSH terms

  • Breast / pathology*
  • Breast Neoplasms / complications
  • Breast Neoplasms / diagnostic imaging*
  • Female
  • Humans
  • Incidental Findings*
  • Liver Neoplasms / complications
  • Liver Neoplasms / diagnostic imaging*
  • Magnetic Resonance Imaging / statistics & numerical data*
  • Middle Aged
  • Retrospective Studies