Extra-mammary findings on breast MRI: a pictorial review

Recent improvements in breast coil performance have made detection of extra-mammary findings increasingly common. Some of these findings have important clinical implications. The radiologist should be aware of the spectrum of extra-mammary pathologies found on breast magnetic resonance imaging (MRI) and be able to distinguish clinically significant findings from those that are inconsequential. The purpose of this essay is to demonstrate various common and uncommon extra-mammary findings encountered while interpreting breast MRI and to detail appropriate management recommendations.