Inclusion Criteria:  African American female Negative DBT examination within eleven months prior to recruitment Heterogeneoulsy and Extremely breast densities Clinically asymptomatic- no palpable masses or focal thickening, etc.  Exclusion Criteria:  Patients who are pregnant and lactating Patient who have not had a mammogram (DBT) in the past 11months Patients who are unwilling or unable to provide written informed consent Patients symptomatic for breast disease (e.g. experiencing discharge, lumps, ect.) Recent breast surgery in the past 2 years including breast enhancements (e.g. implants or injections) Patients who are unable to received an MRI with Gadolinium contrast Patients who have not had an MRI of the breast with the past year