I need proofreading. Please find mistakes. Please only if you native speaker This showed new foci of uptake in the bony thorax, the most obvious in the sternum and/or metastatic disease with extension laterally to the right. 1/1/1900: Malignant Neoplasm Breast, unspecified site Breast Cancer (M1) ( ER=+, PR=+, HER2 IHC=2+, HER2 FISH=pending). Breast cancer the workup only shows evidence of a local recurrence with systemic metastases. Evidence of recurrence or metastatic malignancy. Radiation pneumonitis or even metastatic disease. Chest wall and spine: Multiple sclerotic vertebral metastases. Sternal metastases. Retrosternal soft tissue and pericardial nodule represents metastases. No new metastases in the chest or Lymphadenopathy. Multiple sclerotic osseous metastases. Numerous foci of tracer uptake are still present and are compatible with metastases. Diffuse osseous metastases are not significantly changed involving the visualized posterior iliac bones are consistent with metastasis. Evidence of metastatic disease involving the iliac bones. Metastatic disease. A PET scan from 6/8/09 showed no evidence or recurrent metastases. 200 CGS to her parasternal mass in the L-spine and T-spine for metastases. INTERVAL HISTORY: she seen today in follow up her diagnosis of metastatic breast. Metastatic disease in the visualized bony structures. NO NEW FINDINGS OF LIVER METASTASES. There has been no obvious significant interval change in suspected bony metastases. Ductal Carcinoma In Situ (DCIS): DCIS is present in specimen DCIS Margins: Uninvolved by DCIS. Suspected metastatic lesion. Whether this is a primary bone neoplasm. INDICATION: History of metastatic breast intraductal carcinoma (ER/PR positive, HER-2 positive) on chemotherapy. Previously seen spine, ribs, and sternal metastases are less avid or stable on this study.