Abstract
Early detection of second breast cancer improves the survival outcomes of women with a personal history of breast cancer. Mammography is the primary surveillance imaging modality. However, it has a lower sensitivity for women with a personal history of breast cancer than for women without a personal history of breast cancer. Thus, breast MRI has emerged as a supplemental imaging modality for surveillance and is recommended for women treated with breast-conserving therapy aged 50 years or younger and having dense breasts. For the proper interpretation of breast MRI findings, radiologists need to be familiar with the evolution of imaging characteristics on breast MRI following breast-conserving therapy. Edema, skin thickening, seroma, fat necrosis, and lumpectomy site enhancement are common findings until 36 months after completion of breast conservation therapy.
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