This document provides an overview of the BI-RADS lexicon for mammography and ultrasound reporting. It discusses the standardized terminology and descriptors used to report breast composition, masses, calcifications, asymmetries and other findings. Key points include the BI-RADS categories for final assessment ranging from negative (1) to highly suggestive of malignancy (5). Standardized reporting aims to reduce confusion and facilitate monitoring and quality assessment.
The document discusses the BI-RADS (Breast Imaging-Reporting and Data System) which classifies breast lesions identified on mammography, ultrasound, or MRI into categories based on assessment and risk of malignancy. It describes the 6 BI-RADS assessment categories ranging from BI-RADS 0, where additional imaging is needed, to BI-RADS VI for a known biopsy-proven malignancy. Key descriptors are provided for describing masses, calcifications, architectural distortion and other findings. The goal of BI-RADS is to standardize breast imaging reporting and ensure appropriate clinical management based on cancer risk.
Breast ultrasound uses high-frequency sound waves to map the internal structures of the breast. Though it should not be used alone for screening, ultrasound can detect cancers not seen on mammography when used together with mammography. With new transducers, ultrasound can also detect malignancy associated with clustered microcalcifications seen on mammograms. Ultrasound provides high quality images of the normal and abnormal breast and can help differentiate between cystic and solid lesions.
The document provides excerpts from the latest edition of the ACR BI-RADS Atlas, which standardizes breast imaging reporting and management recommendations. It discusses key components of the BI-RADS system including standardized terminology, assessment categories from 0-6 with associated likelihood of malignancy and recommendations, and guidelines for reporting findings from mammography, ultrasound, and MRI exams. Standardized reporting aims to improve communication and allow for outcome auditing.
This document provides guidelines for reporting the results of mammography examinations using the BI-RADS assessment and reporting system. It describes the standardized structure for mammography reports, including sections for the indication, breast composition, findings, comparison to prior exams, assessment, and management. The breast composition section provides definitions and illustrations for the four breast composition categories based on fibroglandular density. The assessment category section matches each BI-RADS assessment category with its corresponding management recommendation and likelihood of cancer.
The document discusses BI-RADS, a standardized system for breast imaging reporting and assessment. It provides standardized terminology (descriptors) for mammography, ultrasound, and MRI findings. All breast imaging reports should adhere closely to the BI-RADS lexicon and assessment categories to reduce confusion and facilitate outcome monitoring. The document also discusses different breast tissue compositions, common benign and suspicious findings on mammograms such as asymmetries and calcifications, and how these findings are classified and should be reported.
This document outlines an MRI study protocol for evaluating the pelvic floor. It involves filling the rectum with ultrasound gel and obtaining static and dynamic sagittal T2 weighted images at rest, during sustained contraction, Valsalva maneuver, and defecation. This allows evaluation of pelvic floor morphology and function to identify issues like prolapse or intussusception. Fasting is not required but a laxative is given beforehand to empty the bowels.
This document discusses malignant liver lesions. It describes the different types of primary and secondary malignant tumors that can occur in the liver. The most common are metastatic deposits from other primary cancers, and hepatocellular carcinoma (HCC). HCC is described in detail, including risk factors, pathogenesis, imaging appearance on ultrasound, CT and MRI, staging systems, treatment surveillance, and diagnostic criteria. Other liver cancers such as cholangiocarcinoma are also briefly mentioned.
This document discusses MRI for prostate cancer detection and the PI-RADS classification system. It provides details on:
1. Multiparametric MRI which combines T2-weighted, diffusion, and dynamic contrast-enhanced imaging to accurately detect clinically significant prostate cancer.
2. The PI-RADS classification system standardized prostate MRI acquisition, interpretation, and reporting. It describes PIRADS scores from 1 to 5 based on lesion appearance and characteristics on different MRI sequences.
3. Examples of MRI findings for different PIRADS scores, such as restricted diffusion and early enhancement indicating a higher grade tumor warranting biopsy.
The document discusses the BI-RADS (Breast Imaging-Reporting and Data System) which classifies breast lesions identified on mammography, ultrasound, or MRI into categories based on assessment and risk of malignancy. It describes the 6 BI-RADS assessment categories ranging from BI-RADS 0, where additional imaging is needed, to BI-RADS VI for a known biopsy-proven malignancy. Key descriptors are provided for describing masses, calcifications, architectural distortion and other findings. The goal of BI-RADS is to standardize breast imaging reporting and ensure appropriate clinical management based on cancer risk.
Breast ultrasound uses high-frequency sound waves to map the internal structures of the breast. Though it should not be used alone for screening, ultrasound can detect cancers not seen on mammography when used together with mammography. With new transducers, ultrasound can also detect malignancy associated with clustered microcalcifications seen on mammograms. Ultrasound provides high quality images of the normal and abnormal breast and can help differentiate between cystic and solid lesions.
The document provides excerpts from the latest edition of the ACR BI-RADS Atlas, which standardizes breast imaging reporting and management recommendations. It discusses key components of the BI-RADS system including standardized terminology, assessment categories from 0-6 with associated likelihood of malignancy and recommendations, and guidelines for reporting findings from mammography, ultrasound, and MRI exams. Standardized reporting aims to improve communication and allow for outcome auditing.
This document provides guidelines for reporting the results of mammography examinations using the BI-RADS assessment and reporting system. It describes the standardized structure for mammography reports, including sections for the indication, breast composition, findings, comparison to prior exams, assessment, and management. The breast composition section provides definitions and illustrations for the four breast composition categories based on fibroglandular density. The assessment category section matches each BI-RADS assessment category with its corresponding management recommendation and likelihood of cancer.
The document discusses BI-RADS, a standardized system for breast imaging reporting and assessment. It provides standardized terminology (descriptors) for mammography, ultrasound, and MRI findings. All breast imaging reports should adhere closely to the BI-RADS lexicon and assessment categories to reduce confusion and facilitate outcome monitoring. The document also discusses different breast tissue compositions, common benign and suspicious findings on mammograms such as asymmetries and calcifications, and how these findings are classified and should be reported.
This document outlines an MRI study protocol for evaluating the pelvic floor. It involves filling the rectum with ultrasound gel and obtaining static and dynamic sagittal T2 weighted images at rest, during sustained contraction, Valsalva maneuver, and defecation. This allows evaluation of pelvic floor morphology and function to identify issues like prolapse or intussusception. Fasting is not required but a laxative is given beforehand to empty the bowels.
This document discusses malignant liver lesions. It describes the different types of primary and secondary malignant tumors that can occur in the liver. The most common are metastatic deposits from other primary cancers, and hepatocellular carcinoma (HCC). HCC is described in detail, including risk factors, pathogenesis, imaging appearance on ultrasound, CT and MRI, staging systems, treatment surveillance, and diagnostic criteria. Other liver cancers such as cholangiocarcinoma are also briefly mentioned.
This document discusses MRI for prostate cancer detection and the PI-RADS classification system. It provides details on:
1. Multiparametric MRI which combines T2-weighted, diffusion, and dynamic contrast-enhanced imaging to accurately detect clinically significant prostate cancer.
2. The PI-RADS classification system standardized prostate MRI acquisition, interpretation, and reporting. It describes PIRADS scores from 1 to 5 based on lesion appearance and characteristics on different MRI sequences.
3. Examples of MRI findings for different PIRADS scores, such as restricted diffusion and early enhancement indicating a higher grade tumor warranting biopsy.
Mammography is the cornerstone imaging modality for breast cancer screening and diagnosis. It involves two standard views - craniocaudal and mediolateral oblique. Additional spot views may be needed based on findings. Image quality is optimized through use of specific equipment like molybdenum targets, grids, and compression to reduce thickness. Mammography finds masses and suspicious calcifications and uses the BI-RADS assessment system to characterize findings and guide need for biopsy. Regular screening can detect cancers early and improve outcomes.
Introduction to mammography and its equipment.
Different views on mammography & supplementary views.
Birads mammographic lexicon
Birads ultrasound lexicon
Imaging of suspicious mammary lymph nodes
Categories in BIRADS 2013.
Presentation1, radiological imaging of popliteal fossa masses.Abdellah Nazeer
This document discusses various masses that can occur in the popliteal fossa region as seen on radiological imaging. It describes pigmented villonodular synovitis, synovial chondromatosis, Baker's cysts, ganglions, lipomas, fibromatosis, fasciitis, epidermal inclusion cysts, heterotopic ossification, soft tissue sarcomas such as undifferentiated pleomorphic sarcoma and liposarcoma, synovial sarcoma, and popliteal artery aneurysms. For each condition, it provides details on etiology, location, imaging appearance on modalities such as MRI, CT, ultrasound and X-ray. Example images are
Presentation1.pptx, radiological imaging of uterine lesions.Abdellah Nazeer
This document discusses radiological imaging techniques for evaluating various uterine lesions. It provides details on congenital uterine anomalies, pelvic inflammatory disease, endometriosis, adenomyosis, leiomyomas (fibroids), and endometrial polyps. Transvaginal ultrasound, CT, MRI, and hysterosalpingography are described as methods for diagnosing these conditions. Symptoms can include abnormal bleeding, pelvic pain, and infertility. Early diagnosis is important but can be challenging without invasive methods.
This presentation include biliary anatomy ,indication, contraindication post op care of percutaneus transhepatic biliary drainage with important technique. and advantage and disadvantage of different technique. This is important for radiologist, radiographers, intervention radiologist radiology resident. Thanks
Radiology plays an important role in evaluating gastrointestinal lymphoma. Primary gastrointestinal lymphoma arises in the lymphatic tissue of the bowel rather than lymph nodes. Common sites of involvement include the stomach, small bowel, and colon. On imaging, gastrointestinal lymphoma can appear as thickened folds, masses, strictures, or diffuse bowel wall thickening. Staging involves assessing for involvement of lymph nodes, adjacent organs, or distant metastases. Radiology is useful for diagnosis, evaluating extent of disease, and monitoring treatment response in gastrointestinal lymphoma.
Presentation2.pptx, radiological imaging of the rectal diseases.Abdellah Nazeer
This document discusses radiological imaging of rectal diseases. It describes barium enema radiographs showing evidence of imperforate anus and symptoms of proctitis such as pain, bleeding, and loose stools. Complications of proctitis including ulcers and abscesses are mentioned. Images show amoebic proctitis in an HIV-infected patient and small rectal polyps. Rectal cancer staging and treatment options involving transanal excision, total mesorectal excision, and chemotherapy are summarized. Endorectal ultrasound and MRI are identified as accurate techniques for tumor staging, with MRI having the highest accuracy for T, N, and circumferential resection margin staging of rectal cancer.
Progressive muscle weakness for 2 years. Giant cerebral aneurysms are greater than 25mm. Patients can present with mass effect or subarachnoid hemorrhage. On MRI, patent aneurysms appear as flow void or heterogeneous signal. Thrombosed aneurysms depend on clot age. Sturge-Weber syndrome is characterized by facial port wine stains and pial angiomas. CT detects subcortical calcification earlier than plain film. MRI shows signal changes and anatomical volume loss with age. État criblé describes diffusely widened perivascular spaces in the basal ganglia. External auditory canal atresia involves complete or incomplete bony atresia of the external auditory canal.
Doppler ultrasound of the portal system - Normal findingsSamir Haffar
This document provides an overview of Doppler ultrasound of the normal portal system, including:
1. Principles of Doppler ultrasound and how to adjust settings like color box size, velocity scale, gain, and wall filter to optimize the examination.
2. Sites for duplex insonation of the portal system and techniques for obtaining spectral waveforms.
3. Normal Doppler ultrasound findings of the portal vein, hepatic veins, and hepatic artery, including measurements and anatomy.
This document provides information about various breast imaging techniques including mammography. It describes what a mammogram is, the history of mammography, how mammograms are performed, what they can detect like masses and microcalcifications, and how results are categorized using BI-RADS. Other modalities like ultrasound and MRI are also discussed. Limitations of mammography include false negatives, overdiagnosis, and difficulty in dense breasts. Mammogram plans vary depending on a woman's history and any breast surgery or implants. Newer techniques like tomosynthesis aim to improve cancer detection.
Ultrasound is used to map the internal structures of the breast using high-frequency sound waves. While it cannot replace mammography for screening, ultrasound can detect cancers not seen on mammograms, particularly in dense breasts. Benign lesions usually appear smooth, well-circumscribed, and hypoechoic or isoechoic compared to breast tissue. Malignant lesions tend to be irregularly shaped, hypoechoic, with angular margins and posterior shadowing. Ultrasound criteria help characterize breast abnormalities detected on other imaging as benign or warranting biopsy.
Imaging of benign focal hepatic lesionsDev Lakhera
The document discusses various liver conditions including nodular transformation of the liver, diffuse nodular hyperplasia, and noncirrhotic nodulation which can be caused by drugs, myeloproliferative disorders, or collagen vascular diseases. It also mentions hepatic abscesses which can be bacterial, fungal, or amoebic in origin and cystic lesions in the liver appearing as large well-defined masses with peripheral daughter cysts and possible curvilinear ring-like calcification. Dynamic vascular enhancement patterns of lesions can vary depending on their size and differential diagnoses include hypervascular tumors.
Doppler ultrasound of lower limb arteriesSamir Haffar
This document provides information on Doppler ultrasound of lower limb arteries. It begins with the anatomy of lower limb arteries including the abdominal aorta, iliac arteries, femoral arteries, and crural arteries. It then discusses normal Doppler ultrasound findings of lower limb arteries including normal arterial diameters, waveforms, and velocities. Finally, it covers duplex ultrasound criteria for arterial evaluation and various causes of lower limb arterial diseases such as atherosclerosis, thrombosis, aneurysms, and arterial occlusions.
Presentation1.pptx, radiological imaging of malignant breast diseases.Abdellah Nazeer
The document discusses various types of breast cancers and their radiological appearances. It begins by describing breast cancer in general, noting that it usually occurs in women and can begin in the ducts or lobules. It then summarizes the main types of breast cancers like ductal carcinoma in situ, invasive ductal carcinoma, invasive lobular carcinoma, inflammatory breast carcinoma, and rare types like mucinous carcinoma and phyllodes tumor. For each type, it provides details on their clinical and radiological features like mammography and MRI appearances to aid in diagnosis.
This document describes transrectal ultrasound (TRUS)-guided prostate biopsy techniques. It begins with background on the anatomy of the prostate and ultrasonographic imaging. TRUS-guided biopsy is considered the mainstay for prostate cancer detection and involves using a biopsy gun to obtain core samples under ultrasound guidance. Various biopsy schemes are described, including the original sextant technique and more extensive schemes involving additional cores. Factors such as patient preparation, anesthesia, and antibiotic prophylaxis for biopsies are also outlined. The document provides an overview of TRUS-guided prostate biopsy procedures and technical considerations.
Ultrasonography is useful for both detecting and characterizing hepatic mass lesions. For detection, contrast-enhanced ultrasound can help identify tiny lesions. Characterization involves assessing the lesion's echogenicity, vascularity on Doppler ultrasound, and enhancement pattern on contrast-enhanced ultrasound. Both benign and malignant masses can be identified. Common benign masses include hemangiomas and focal nodular hyperplasia. Primary malignant masses include hepatocellular carcinoma, while secondary malignant masses are often metastases from other cancers.
A 30-year-old Paraguayan man presented with neurological symptoms and was found to have cerebral lesions consistent with Chagas disease, which can cause meningoencephalitis upon reactivation in immunocompromised individuals. An 8-year-old boy undergoing evaluation for fever and gastrointestinal issues was diagnosed with Whipple disease after cerebellar biopsy. A 62-year-old man with worsening neurological deficits after VP shunt placement for hydrocephalus showed diffuse leptomeningeal enhancement and nodular pachymeningeal enhancement consistent with carcinomatous meningitis.
Ultrasound is useful for evaluating breast lesions. It can differentiate between solid and cystic masses. Elastography further helps characterize lesions by assessing tissue stiffness. Benign lesions tend to be softer and more homogeneous while malignant lesions are typically stiffer and heterogeneous. Elastography can potentially upgrade or downgrade BI-RADS assessments. For example, a BI-RADS 3 lesion may be upgraded to 4 if seen as stiff on elastography, or a BI-RADS 4a lesion may be downgraded to 3 if appearing soft and homogeneous. Elastography provides additional information to ultrasound for more accurate characterization of breast abnormalities.
A detailed description of ct coronary angiography and calcium scoring with various aspects regarding the preparation, procedure, limitations and a short review regarding post CABG imaging.
Breast cysts can be benign or malignant. Ultrasound is often sufficient for diagnosis and uses morphology and Doppler features. Cysts are classified into types from I-VI based on features. Type I-III cysts are simple cysts assessed as BI-RADS 2 with very low risk. Type IV cysts are complicated with low level echoes and assessed as BI-RADS 3 with <2% risk. Types V-VI have solid components and are assessed as BI-RADS 4 due to higher 2-95% risk. Features, assessment, and recommended management are described for each cyst type.
This document provides an overview of mammography, including definitions, indications, equipment, technique, findings, and assessment categories. It defines mammography as an x-ray examination of the breast to detect changes. Key indications include focal signs in women aged 40 or older and screening for high-risk women. Equipment has advanced from film-screen to digital mammography and tomosynthesis. Standard views are mediolateral oblique and craniocaudal. Findings can include masses, asymmetries, distortions, and calcifications, which are categorized based on characteristics like shape, margin, density, and distribution.
This document discusses breast imaging modalities and the BI-RADS system for categorizing findings. Mammography remains the cornerstone imaging modality for breast screening and diagnosis. The BI-RADS system classifies lesions on a scale of 0-6 based on level of suspicion. Category 0 indicates need for more imaging. Categories 1-2 are benign or likely benign findings. Category 3 indicates short term follow up. Categories 4-5 indicate increasing suspicion of malignancy requiring biopsy. Category 6 is known biopsy-proven cancer. Common benign breast lesions discussed include fibroadenomas, papillomas, and duct ectasia.
Mammography is the cornerstone imaging modality for breast cancer screening and diagnosis. It involves two standard views - craniocaudal and mediolateral oblique. Additional spot views may be needed based on findings. Image quality is optimized through use of specific equipment like molybdenum targets, grids, and compression to reduce thickness. Mammography finds masses and suspicious calcifications and uses the BI-RADS assessment system to characterize findings and guide need for biopsy. Regular screening can detect cancers early and improve outcomes.
Introduction to mammography and its equipment.
Different views on mammography & supplementary views.
Birads mammographic lexicon
Birads ultrasound lexicon
Imaging of suspicious mammary lymph nodes
Categories in BIRADS 2013.
Presentation1, radiological imaging of popliteal fossa masses.Abdellah Nazeer
This document discusses various masses that can occur in the popliteal fossa region as seen on radiological imaging. It describes pigmented villonodular synovitis, synovial chondromatosis, Baker's cysts, ganglions, lipomas, fibromatosis, fasciitis, epidermal inclusion cysts, heterotopic ossification, soft tissue sarcomas such as undifferentiated pleomorphic sarcoma and liposarcoma, synovial sarcoma, and popliteal artery aneurysms. For each condition, it provides details on etiology, location, imaging appearance on modalities such as MRI, CT, ultrasound and X-ray. Example images are
Presentation1.pptx, radiological imaging of uterine lesions.Abdellah Nazeer
This document discusses radiological imaging techniques for evaluating various uterine lesions. It provides details on congenital uterine anomalies, pelvic inflammatory disease, endometriosis, adenomyosis, leiomyomas (fibroids), and endometrial polyps. Transvaginal ultrasound, CT, MRI, and hysterosalpingography are described as methods for diagnosing these conditions. Symptoms can include abnormal bleeding, pelvic pain, and infertility. Early diagnosis is important but can be challenging without invasive methods.
This presentation include biliary anatomy ,indication, contraindication post op care of percutaneus transhepatic biliary drainage with important technique. and advantage and disadvantage of different technique. This is important for radiologist, radiographers, intervention radiologist radiology resident. Thanks
Radiology plays an important role in evaluating gastrointestinal lymphoma. Primary gastrointestinal lymphoma arises in the lymphatic tissue of the bowel rather than lymph nodes. Common sites of involvement include the stomach, small bowel, and colon. On imaging, gastrointestinal lymphoma can appear as thickened folds, masses, strictures, or diffuse bowel wall thickening. Staging involves assessing for involvement of lymph nodes, adjacent organs, or distant metastases. Radiology is useful for diagnosis, evaluating extent of disease, and monitoring treatment response in gastrointestinal lymphoma.
Presentation2.pptx, radiological imaging of the rectal diseases.Abdellah Nazeer
This document discusses radiological imaging of rectal diseases. It describes barium enema radiographs showing evidence of imperforate anus and symptoms of proctitis such as pain, bleeding, and loose stools. Complications of proctitis including ulcers and abscesses are mentioned. Images show amoebic proctitis in an HIV-infected patient and small rectal polyps. Rectal cancer staging and treatment options involving transanal excision, total mesorectal excision, and chemotherapy are summarized. Endorectal ultrasound and MRI are identified as accurate techniques for tumor staging, with MRI having the highest accuracy for T, N, and circumferential resection margin staging of rectal cancer.
Progressive muscle weakness for 2 years. Giant cerebral aneurysms are greater than 25mm. Patients can present with mass effect or subarachnoid hemorrhage. On MRI, patent aneurysms appear as flow void or heterogeneous signal. Thrombosed aneurysms depend on clot age. Sturge-Weber syndrome is characterized by facial port wine stains and pial angiomas. CT detects subcortical calcification earlier than plain film. MRI shows signal changes and anatomical volume loss with age. État criblé describes diffusely widened perivascular spaces in the basal ganglia. External auditory canal atresia involves complete or incomplete bony atresia of the external auditory canal.
Doppler ultrasound of the portal system - Normal findingsSamir Haffar
This document provides an overview of Doppler ultrasound of the normal portal system, including:
1. Principles of Doppler ultrasound and how to adjust settings like color box size, velocity scale, gain, and wall filter to optimize the examination.
2. Sites for duplex insonation of the portal system and techniques for obtaining spectral waveforms.
3. Normal Doppler ultrasound findings of the portal vein, hepatic veins, and hepatic artery, including measurements and anatomy.
This document provides information about various breast imaging techniques including mammography. It describes what a mammogram is, the history of mammography, how mammograms are performed, what they can detect like masses and microcalcifications, and how results are categorized using BI-RADS. Other modalities like ultrasound and MRI are also discussed. Limitations of mammography include false negatives, overdiagnosis, and difficulty in dense breasts. Mammogram plans vary depending on a woman's history and any breast surgery or implants. Newer techniques like tomosynthesis aim to improve cancer detection.
Ultrasound is used to map the internal structures of the breast using high-frequency sound waves. While it cannot replace mammography for screening, ultrasound can detect cancers not seen on mammograms, particularly in dense breasts. Benign lesions usually appear smooth, well-circumscribed, and hypoechoic or isoechoic compared to breast tissue. Malignant lesions tend to be irregularly shaped, hypoechoic, with angular margins and posterior shadowing. Ultrasound criteria help characterize breast abnormalities detected on other imaging as benign or warranting biopsy.
Imaging of benign focal hepatic lesionsDev Lakhera
The document discusses various liver conditions including nodular transformation of the liver, diffuse nodular hyperplasia, and noncirrhotic nodulation which can be caused by drugs, myeloproliferative disorders, or collagen vascular diseases. It also mentions hepatic abscesses which can be bacterial, fungal, or amoebic in origin and cystic lesions in the liver appearing as large well-defined masses with peripheral daughter cysts and possible curvilinear ring-like calcification. Dynamic vascular enhancement patterns of lesions can vary depending on their size and differential diagnoses include hypervascular tumors.
Doppler ultrasound of lower limb arteriesSamir Haffar
This document provides information on Doppler ultrasound of lower limb arteries. It begins with the anatomy of lower limb arteries including the abdominal aorta, iliac arteries, femoral arteries, and crural arteries. It then discusses normal Doppler ultrasound findings of lower limb arteries including normal arterial diameters, waveforms, and velocities. Finally, it covers duplex ultrasound criteria for arterial evaluation and various causes of lower limb arterial diseases such as atherosclerosis, thrombosis, aneurysms, and arterial occlusions.
Presentation1.pptx, radiological imaging of malignant breast diseases.Abdellah Nazeer
The document discusses various types of breast cancers and their radiological appearances. It begins by describing breast cancer in general, noting that it usually occurs in women and can begin in the ducts or lobules. It then summarizes the main types of breast cancers like ductal carcinoma in situ, invasive ductal carcinoma, invasive lobular carcinoma, inflammatory breast carcinoma, and rare types like mucinous carcinoma and phyllodes tumor. For each type, it provides details on their clinical and radiological features like mammography and MRI appearances to aid in diagnosis.
This document describes transrectal ultrasound (TRUS)-guided prostate biopsy techniques. It begins with background on the anatomy of the prostate and ultrasonographic imaging. TRUS-guided biopsy is considered the mainstay for prostate cancer detection and involves using a biopsy gun to obtain core samples under ultrasound guidance. Various biopsy schemes are described, including the original sextant technique and more extensive schemes involving additional cores. Factors such as patient preparation, anesthesia, and antibiotic prophylaxis for biopsies are also outlined. The document provides an overview of TRUS-guided prostate biopsy procedures and technical considerations.
Ultrasonography is useful for both detecting and characterizing hepatic mass lesions. For detection, contrast-enhanced ultrasound can help identify tiny lesions. Characterization involves assessing the lesion's echogenicity, vascularity on Doppler ultrasound, and enhancement pattern on contrast-enhanced ultrasound. Both benign and malignant masses can be identified. Common benign masses include hemangiomas and focal nodular hyperplasia. Primary malignant masses include hepatocellular carcinoma, while secondary malignant masses are often metastases from other cancers.
A 30-year-old Paraguayan man presented with neurological symptoms and was found to have cerebral lesions consistent with Chagas disease, which can cause meningoencephalitis upon reactivation in immunocompromised individuals. An 8-year-old boy undergoing evaluation for fever and gastrointestinal issues was diagnosed with Whipple disease after cerebellar biopsy. A 62-year-old man with worsening neurological deficits after VP shunt placement for hydrocephalus showed diffuse leptomeningeal enhancement and nodular pachymeningeal enhancement consistent with carcinomatous meningitis.
Ultrasound is useful for evaluating breast lesions. It can differentiate between solid and cystic masses. Elastography further helps characterize lesions by assessing tissue stiffness. Benign lesions tend to be softer and more homogeneous while malignant lesions are typically stiffer and heterogeneous. Elastography can potentially upgrade or downgrade BI-RADS assessments. For example, a BI-RADS 3 lesion may be upgraded to 4 if seen as stiff on elastography, or a BI-RADS 4a lesion may be downgraded to 3 if appearing soft and homogeneous. Elastography provides additional information to ultrasound for more accurate characterization of breast abnormalities.
A detailed description of ct coronary angiography and calcium scoring with various aspects regarding the preparation, procedure, limitations and a short review regarding post CABG imaging.
Breast cysts can be benign or malignant. Ultrasound is often sufficient for diagnosis and uses morphology and Doppler features. Cysts are classified into types from I-VI based on features. Type I-III cysts are simple cysts assessed as BI-RADS 2 with very low risk. Type IV cysts are complicated with low level echoes and assessed as BI-RADS 3 with <2% risk. Types V-VI have solid components and are assessed as BI-RADS 4 due to higher 2-95% risk. Features, assessment, and recommended management are described for each cyst type.
This document provides an overview of mammography, including definitions, indications, equipment, technique, findings, and assessment categories. It defines mammography as an x-ray examination of the breast to detect changes. Key indications include focal signs in women aged 40 or older and screening for high-risk women. Equipment has advanced from film-screen to digital mammography and tomosynthesis. Standard views are mediolateral oblique and craniocaudal. Findings can include masses, asymmetries, distortions, and calcifications, which are categorized based on characteristics like shape, margin, density, and distribution.
This document discusses breast imaging modalities and the BI-RADS system for categorizing findings. Mammography remains the cornerstone imaging modality for breast screening and diagnosis. The BI-RADS system classifies lesions on a scale of 0-6 based on level of suspicion. Category 0 indicates need for more imaging. Categories 1-2 are benign or likely benign findings. Category 3 indicates short term follow up. Categories 4-5 indicate increasing suspicion of malignancy requiring biopsy. Category 6 is known biopsy-proven cancer. Common benign breast lesions discussed include fibroadenomas, papillomas, and duct ectasia.
The document provides information about various breast imaging techniques and biopsy procedures. It discusses the appearance of masses and lesions on mammography including characteristics like shape, margin, density, and enhancement patterns. It also describes different types of calcifications and their typical benign or suspicious morphologies. Additionally, the document outlines procedures for fine needle biopsy, core needle biopsy, and vacuum-assisted biopsy. Key details about each technique are given, such as how samples are obtained and analyzed to determine if a growth is benign or malignant.
Breast prognostic factors,imaging,diagnosis,stagingNilesh Kucha
This document provides information on various imaging modalities used in breast cancer diagnosis and staging. It discusses the use of ultrasound, mammography, MRI, and elastography. For mammography, it outlines standard views, additional views, BI-RADS assessment categories, limitations, and the role of digital breast tomosynthesis. For MRI, it covers indications, enhancement curves, advantages, disadvantages and sensitivity. Elastography is described as a technique that detects changes in tissue elasticity caused by disease.
Breast cancer is the most common cancer in women worldwide. Imaging techniques like mammography, ultrasound, and MRI play an important role in the diagnosis and screening of breast cancer. Mammography remains the primary screening method, but ultrasound and MRI provide additional information. Findings on imaging are categorized using the BI-RADS assessment system to indicate likelihood of malignancy and guide need for biopsy or additional follow-up.
This document provides an overview of breast anatomy, mammography techniques, mammogram findings, and clinical scenarios for breast imaging. It describes the three zones of breast anatomy and their relationships to chest wall structures. Mammography techniques discussed include basic projections, BI-RADS breast composition categories, and characteristics of masses, asymmetries, architectural distortions and calcifications. Clinical scenarios outlined the most appropriate imaging modalities for evaluating palpable lumps, discharge, pain, abnormal mammograms and assessing cancer treatment response.
The document discusses the approach to mammogram interpretation. It covers breast anatomy, zonal anatomy, BI-RADS breast composition categories, and key mammographic findings including masses, calcifications, asymmetries, lymph nodes, densities, architectural distortions and associated findings. Mammographic findings are characterized based on morphology, distribution and other features, and an assessment of likelihood of malignancy is provided. The importance of synthesizing all findings to provide an overall final assessment is emphasized.
This document provides an overview of breast MRI, including anatomy, techniques, and characteristics of different breast lesions. Breast MRI is very sensitive for cancer detection, especially in dense breasts. Dynamic contrast enhanced MRI is used to evaluate lesion morphology, enhancement patterns, and kinetics. Benign lesions like cysts and fibroadenomas have characteristic appearances, while malignant lesions often appear irregular or spiculated with rapid early enhancement and washout. Non-mass enhancement can indicate cancers like DCIS and requires analysis of distribution and internal pattern. Computer aided diagnosis evaluates kinetic curves but does not replace visual analysis.
BI-RADS (Breast Imaging Reporting and Data System) standardizes breast imaging terminology and reporting to reduce confusion and facilitate quality assessment. It contains standardized descriptors for mammography, ultrasound, and MRI findings. Reports should adhere closely to the BI-RADS lexicon and assessment categories. In BI-RADS 2013, percentages of breast density are discouraged as indicators of cancer risk; instead, the ability of fibroglandular tissue to obscure masses is considered. Dense breast tissue can obscure detection of early cancer but also carries an increased risk of developing cancer.
The document discusses how to analyze mammogram images to identify abnormalities. Key steps include assessing quality, comparing left and right images, and systematically searching for masses, calcifications, distortions and other findings. Features of benign and malignant lesions are described, such as shapes of calcifications or margins of masses. Ultrasound may also be used to further evaluate lesions identified on mammogram. Lesions are categorized using BI-RADS assessment to determine if additional imaging or biopsy is needed.
This document provides an overview of radiology and imaging of the mammary gland. It describes the normal anatomy of the breast including lobes, ducts, connective tissue, fat, lymph nodes, veins and arteries. It discusses mammography techniques including standard views, compression, magnification and localization. It outlines indications for screening and diagnostic mammography and patient preparation.
Radiological approach for malignant breast lesionsNazia Ashraf
This document discusses radiological approaches for evaluating malignant breast lesions. It provides information on breast anatomy, risk factors for breast cancer before and after menopause, predisposing genes, diagnostic techniques including fine needle aspiration, core biopsy and surgery. Imaging modalities like mammography, ultrasound and MRI are described. The TNM classification system and breast imaging reporting data system (BIRADS) are also summarized. Evaluation of axillary lymphadenopathy, calcifications, ductography and new techniques like ultrasound elastography are also mentioned.
Basics about Microcalcifications in mammography of breast as well as Review of Journal article on Residual Microcalcifications after Neoadjuvant Chemotherapy in Carcinoma Breast.
This document summarizes various breast imaging modalities. It discusses the role of mammography, ultrasound, MRI, PET, and other techniques in evaluating the breast. Mammography remains the primary screening tool but has limitations related to breast density. Ultrasound helps diagnose palpable lesions and differentiate cysts from solid masses. MRI detects additional cancers but has limitations of cost and availability. Combined modalities provide improved evaluation of the breast compared to single techniques alone.
A Review of Segmentation of Mammographic Images Based on Breast DensityIJERA Editor
1) The document reviews approaches for segmenting breast regions in mammograms according to breast density. Breast density is an important risk factor for breast cancer.
2) Segmentation of mammographic images can identify glandular and fibroglandular tissues, which appear bright on mammograms. This segmentation is the first step in computer-aided detection and diagnosis of breast cancer.
3) Several approaches have been used for segmentation, including statistical methods based on Gaussian mixture modeling, thresholding techniques, and classification of breast density into categories like the BI-RADS system. Segmentation of specific breast regions like the pectoral muscle have also been studied.
Breast cancer is the most common invasive cancer in women and the second leading cause of cancer death in women after lung cancer.
According to the American Cancer Society, more than 193,000 cases of breast cancer are diagnosed each year, with an estimated 40,000 deaths.
About 1% of these cancers occur in men.
This includes introduction its classification,etiology,clinical manifestations,diagnostic criteria,management.
This document provides an overview of mammography. It discusses normal breast anatomy and its relationship to the chest wall. It describes the three zones of the breast - premammary, mammary, and retromammary zones. The document then discusses the physics of mammography, including the generator, x-ray tube, targets, filters, compression device, grids, and automatic exposure control. It provides details on patient preparation and standard views for mammography, including craniocaudal, mediolateral oblique, and supplementary views. Finally, it compares mammography equipment to general x-ray equipment and provides a brief introduction to digital mammography.
This document provides information on gross pathology procedures for examining breast tumors and specimens. It discusses the classification and morphology of different types of breast carcinomas like medullary carcinoma and mucinous carcinoma. It also describes the gross examination procedures for different breast specimens including lumpectomy, mastectomy, sentinel lymph node biopsy and mammographically directed excision. Key steps involve weighing, measuring and orienting specimens, sectioning and examining cut surfaces, describing lesions and submitting tissue for histology.
This document provides information on breast oncoplastic surgery techniques:
- Oncoplastic surgery (OPS) integrates plastic surgery with breast-conserving cancer surgery to allow for wider excisions without compromising breast shape. It ranges from simple reshaping to advanced mammoplasty techniques.
- Key factors in determining the appropriate OPS approach are excision volume, tumor location, breast density, and glandular composition. Excisions over 20% of breast volume or from certain locations risk deformity. OPS allows excision of up to 1000g compared to 80g for standard surgery.
- OPS techniques are classified into Level I involving reshaping and Level II involving skin excision and reshaping using
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Birads sono-mammography
1. BIRADS FOR MAMMO AND
SONOMAMMOGRAM
PRESENTED BY: DR.GEORGINA GEORGE
MODERATOR: DR. MAHESH MIJAR
2. INTRODUCTION
● BI-RADS® is designed to standardize breast
imaging reporting and to reduce confusion
in breast imaging interpretations.
● It also facilitates outcome monitoring and
quality assessment.
● It contains a lexicon for standardized
terminology (descriptors) for
mammography, breast US and MRI, as well
as chapters on Report Organization and
Guidance Chapters for use in daily practice.
5. BREAST COMPOSITION
● In the BI-RADS edition 2003 the assignment of the breast composition was based
on the overall density resulting in
❖ category 1 ( <25% fibroglandular tissue)
❖ category 2 ( 25-50%)
❖ category 3 (50-75%)
❖ category 4 (>75%).
● In BI-RADS 2013 the use of percentages is discouraged, because it is important to
take into account the chance that a mass can be obscured by fibroglandular
tissue than the percentage of breast density as an indicator.
7. COMPOSITION-B
● There are scattered
areas of fibroglandular
density.
● The term density
describes the degree of
x-ray attenuation of
breast tissue but not
discrete mammographic
findings.
8. COMPOSITION-C
● The breasts are
heterogeneously
dense.
● Some areas in the
breasts are
sufficiently dense to
obscure small
masses.
11. MASS
● A 'Mass' is a space occupying 3D lesion seen in two different projections.
● If a potential mass is seen in only a single projection it should be called a
'asymmetry' until its three-dimensionality is confirmed.
1. SHAPE OF LESION
12. 2. MARGIN OF LESION
● Circumscribed (well-defined).
This is a benign finding.
● Obscured or partially obscured
When the margin is hidden by
superimposed fibroglandular tissue.
Ultrasound can be helpful to define the
margin better.
● Microlobulated
This implies a suspicious finding.
● Indistinct (ill-defined).
This is also a suspicious finding.
● Spiculated
Radiating lines from the mass is a very
suspicious finding.
13. 3. DENSITY OF THE LESION
● The density of a mass is
related to the expected
attenuation of an equal
volume of fibroglandular
tissue.
● High density is associated
with malignancy.
● It is extremely rare for
breast cancer to be low
density.
14. ARCHITECTURAL DISTORTION
● The term architectural distortion is used, when the
normal architecture is distorted with no definite
mass visible.
● This includes:
1.thin straight lines
2.spiculations radiating from a point
3.focal retraction, distortion or straightening at the
edges of the parenchyma.
● The differential diagnosis is scar tissue or
carcinoma.
● If there is a mass that causes architectural
distortion, the likelihood of malignancy is greater
than in the case of a mass without distortion.
15. ASYMMETRIES
Findings that represent unilateral deposits of fibroglandular tissue not conforming
to the definition of a mass
● Asymmetry is an area of fibroglandular tissue
visible on only one mammographic projection,
mostly caused by superimposition of normal
breast tissue.
● Focal asymmetry visible on two projections
This has to be differentiated from a mass.
● Global asymmetry consisting of an asymmetry
over at least one quarter of the breast
Is usually a normal variant.
● Developing asymmetry
new, larger and more conspicuous than on a
previous examination.
19. ASYMMETRY VS MASS
ASYMMETRY MASS
Mostly seen in one view Seen on multiple views
Concave outward border Convex outward border
Interspersed with fat Denser at the center than periphery
20. CALCIFICATIONS
● In the 2003 atlas, it was classified by
morphology and distribution either
as benign, intermediate concern or
high probability of malignancy.
● Calcifications are now either
typically benign or of suspicious
morphology.
● Within this last group the chances of
malignancy are different depending
on their morphology (BI-RADS 4B or
4C) and also depending on their
distribution.
21. DISTRIBUTION OF CALCIFICATIONS
1. Diffuse: distributed randomly
throughout the breast.
2. Regional: occupying a large portion of
breast tissue > 2 cm greatest
dimension
3. Grouped (cluster): few calcifications
occupying a small portion of breast
tissue: lower limit 5 calcifications
within 1 cm and upper limit a larger
number of calcifications within 2 cm.
4. Linear: arranged in a line (suggests
deposits in a duct)
5. Segmental: suggests deposits in a
duct or ducts and their branches.
23. There is one exception to
the rule:
An isolated group of
punctate calcifications that
is new, increasing, linear, or
segmental in distribution, or
adjacent to a known cancer
can be assigned as probably
benign or suspicious.
24. SUSPICIOUS CALCIFICATIONS
● Amorphous (BI-RADS 4B)
Small and/or hazy in appearance
● Coarse heterogeneous (BI-RADS 4B)
Irregular, conspicuous calcifications
between 0.5-1 mm
tend to coalesce but are smaller than dystrophic
calcifications.
● Fine pleomorphic (BI-RADS 4C)
Usually more conspicuous than amorphous
forms and are seen to have discrete shapes,
usually < 0.5 mm
● Fine linear or fine-linear branching (BI-RADS 4C)
Thin, linear irregular calcifications
may be discontinuous
occasionally branching
usually < 0.5 mm
41. LOCATION ON MAMMOGRAPHY
AND USG
A complete set of location descriptors consists
of:
1. Designation of right or left breast
2. Quadrant and clockface notation
(preferably both)
3. On US quarter and clockface notation
should be supplemented on the image by
means of bodymark and transducer
position.
4. Depth: anterior, middle or posterior third
(Mammography only)
5. Distance from nipple
42. ● Always make sure, that you are dealing with the same lesion.
For instance a lesion found with US does not have to be the same as the mammographic or physical
finding.
● Sometimes repeated mammographic imaging with markers on the lesion found with US can be helpful.
● Cysts can be aspirated or filled with air after aspiration to make sure that the lesion found on the
mammogram is caused by a cyst.
● Solid lesions can be injected with contrast or a marker can be placed in difficult cases.
43. ● Contrast was injected
into the node and a
repeated mammogram
was performed.
● Here we have proof
that the mass is
caused by an
intramammary lymph
node, since the
mammographic mass
contains the contrast
44. SIZE MEASUREMENT
1. Mass
-Longest axis of a lesion and a second
measurement at right angles.
-In a spiculated mass the spiculations should
not be included.
1. Architectural distortion and Asymmetries
Approximation of its greatest linear
dimension.
1. Calcifications
Approximation of its greatest linear
dimension.
1. Lymph Node
Mammography: short axis.
Ultrasound: cortical thickness
48. BIRADS 0
● Need Additional Imaging Evaluation and/or Prior Mammograms For Comparison
● When additional imaging studies are completed, a final assessment is made.
● Always try to avoid this category by immediately doing additional imaging or retrieving
old films before reporting.
49.
50. BIRADS 1
● Negative: There is nothing to comment on.
● The breasts are symmetric and no masses, architectural distortion or suspicious calcifications are present.
51.
52. BIRADS 2
Benign Finding: Like BI-RADS 1, this is a normal assessment, but here, the interpreter chooses
to describe a benign finding in the mammography report, like:
● Involuting, calcified fibroadenomas
● Multiple large, rod-like calcifications
● Intramammary lymph nodes
● Vascular calcifications
● Implants
● Architectural distortion clearly related to prior surgery.
● Fat-containing lesions such as oil cysts, lipomas, galactoceles and mixed-density
hamartomas. They all have characteristically benign appearances, and may be labeled
with confidence.
55. BIRADS 3
Probably Benign Finding- Initial Short-Interval Follow-Up Suggested:
less than a 2% risk of malignancy.
Lesions appropriately placed in this category include:
● Non-calcified circumscribed mass on a baseline mammogram (unless it can be shown to be a
cyst, an intramammary lymph node, or another benign finding),
● Focal asymmetry which becomes less dense on spot compression view
● Solitary group of punctate calcifications
56.
57.
58.
59. BIRADS 4
Suspicious Abnormality - Biopsy Should Be Considered:
● This category is reserved for findings that do not have the classic appearance of malignancy but are sufficiently
suspicious to justify a recommendation for biopsy.
● BI-RADS 4 has a wide range of probability of malignancy (2 - 95%).
60.
61.
62. BIRADS 5
Highly Suggestive of Malignancy.
BI-RADS 5 must be reserved for findings that are classic breast cancers, with a >95% likelihood of
malignancy.
if the percutaneous tissue diagnosis is nonmalignant, this automatically should be considered as discordant.
● Spiculated, irregular high density mass.
● Segmental or linear arrangement of fine linear calcifications.
● Irregular spiculated mass with associated pleomorphic calcifications.
63.
64. BIRADS 6
● Use after incomplete excision
● Use after monitoring response to neoadjuvant chemotherapy
65.
66. REPORTING
1. Describe the indication for the study.
Screening, diagnostic or follow-up.
Mention the patient's history.
2. Describe the breast composition.
3. Describe any significant finding using standardized
terminology.
Use the morphological descriptors: mass, asymmetry,
architectural distortion and calcifications.
These findings may have associated findings.
Integrate mammography and US-findings in a single report.
4. Compare to previous studies.
Awaiting previous examinations for comparison should only
take place if they are required to make a final assessment
5. Conclude to a final assessment category.
Use BI-RADS categories 0-6
If Mammography and US are performed: overall assessment
should be based on the most abnormal of the two tests,
based on the highest likelihood of malignancy.
1. Give management recommendations.
2. Communicate unsuspected findings with the referring
clinician.
Verbal discussions between radiologist and referring
clinician should be documented in the report.
First describe the breast composition.
When there is a significant finding use the descriptors in the table.
left example the composition is c - heterogeneously dense, although the volume of fibroglandular tissue is less than 50%.
The fibroglandular tissue in the upper part is sufficiently dense to obscure small masses.
So it is called c, because small masses can be obscured.
Historically this would have been called an ACR 2: 25-50% density.
The example on the right has more than 50% glandular tissue and is also called composition c.
The shape of a mass is either round, oval or irregular.
Always make sure that a mass that is found on physical examination is the same as the mass that is found with mammography or ultrasound.
oval (may include 2 or 3 lobulations), round or irregular
Notice the distortion of the normal breast architecture on oblique view (yellow circle) and magnification view.
A resection was performed and only scar tissue was found in the specimen.
an example of a focal asymmetry seen on MLO and CC-view.
Local compression views and ultrasound did not show any mass.
This is an example of global asymmetry in the breast. The entire right breast is denser than the opposite breast.
This finding has been present and stable for 4 years.
No evidence of solid nodules in the ultrasound study (not shown), only simple mammary cysts were visualised bilaterally, compatible with BI-RADS II (benign findings).
Developing Asymmetry.
40 yo woman.
2010 normal mammogram.
Levonorgestrel- releasing intrauterine device hormonal treatment started in 2011.
2013: Developing asymmetry on mammogram. Normal US. Discontinue treatment, and follow-up. 2014. Focal asymmetry persists less dense Diagnosis. Normal breast parenchyma, hormonal response.
The use of the term "density" is confusing, as the term "density" should only be used to describe the x-ray attenuation of a mass compared to an equal volume of fibroglandular tissue.
Since calcifications of intermediate concern and of high probability of malignancy all are being treated the same way, which usually means biopsy, it is logic to group them together.
Within this last group the chances of malignancy are different depending on their morphology (BI-RADS 4B or 4C) and also depending on their distribution.
Skin, vascular, coarse, large rodlike, round or punctate (< 1mm), rim, dystrophic, milk of calcium and suture calcifications are typically benign.
Moderate post-APBI focal skin thickening. (a) Mediolateral oblique mammogram of the left breast demonstrates moderate skin thickening (3-5 mm) (arrows), along with skin retraction. (b) Follow-up mediolateral oblique mammogram obtained 1 year later demonstrates regression of the skin thickening (arrows), which is now mild (<3 mm), as well as skin retraction.
Note the maturation of the scar, with an interval decrease in regional density and contracture of the scar.
Photograph of a woman's breast shows slitlike retraction of the nipple, a finding that is typically benign and often bilateral.
Spot compression mammogram show slitlike retraction of the nipple in profile.
No mass or other possible cause of retraction is visible. The clip in b is from a previous core-needle biopsy.
The ultrasound lexicon has many similarities to the mammography lexicon, but there are some descriptors that are specific for ultrasound.
Many descriptors for ultrasound are the same as for mammography, like when we describe the shape or margin of a mass
ultrasounds of a normal fatty breast show
the thin, white, superficial skin line (arrow);
dark subcutaneous fat;
Note that the fat is uniformly gray throughout the image, and multiple fatty lobules are interspersed between the thin, linear Cooper ligaments.
the muscle and chest wall at the posterior aspect of the image.
the white glandular tissue is thicker than the Cooper ligaments seen in A and how the fatty islands might be mistaken for breast masses.
normal breast ultrasounds of fibroglandular and fatty breast tissue show the white glandular tissue interspersed by dark hypoechoic fatty lobules.
Note how the white glandular tissue is thicker than the Cooper ligaments seen in A and how the fatty islands might be mistaken for breast masses.
ultrasounds of a normal dense breast show mostly white glandular tissue with scant amounts of fat and hypoechoic ducts over an area of thickening in a young patient.
unique to US-imaging, and defined as parallel (benign) or not parallel (suspicious finding) to the skin.
anechoic, hypoechoic, complex cystic and solid, isoechoic, hyperechoic
Echogenicity can contribute to the assessment of a lesion, together with other feature categories. Alone it has little specificity.
enhancement, shadowing.
Posterior features represent the attenuation characteristics of a mass with respect to its acoustic transmission, also of additional value. Alone it has little specificity.
On US poorly characterized compared with mammography, but can be recognized as echogenic foci, particularly when in a mass
There may be variability within breast imaging practices, members of a group practice should agree upon a consistent policy for documenting.
A mass is seen in the outer lower quadrant of the left breast at 4 o' clock in the posterior portion of the breast at 4cm distance from the nipple.
They are of a patient with a new lesion found at screening.
With ultrasound an intramammary lymph node was found, but we weren't sure whether this was the same as the mass on the mammogram.
This patient presented with a mass on the mammogram at screening, which was assigned as BI-RADS 0 (needs additional imaging evaluation).
Additional ultrasound demonstrated that the mass was caused by an intramammary lymph node.
The final assessment is BI-RADS 2 (benign finding).
BI-RADS 1 (normal). There is nothing to comment on.
Mass seen on mammogram proved to be a cyst
Oil cysts in breast imaging refer to benign breast lesions where an area of focal fat necrosis becomes walled off by fibrous tissue
It is not expected to change over the follow-up interval, but the radiologist would prefer to establish its stability.
Here a non-palpable sharply defined mass with a group of punctate calcifications.
The mass was categorized as BI-RADS 3.
Continue with follow up images.
The initial short-term follow-up of a BI-RADS 3 lesion is a unilateral mammogram at 6 months, then a bilateral follow-up examination at 12 months. Assuming stability perform a follow-up after one year and optionally after another year.
Follow-up at 6, 12 and 24 months showed no change and the final assessment was changed into a Category 2.
PA: benign vascular malformation.
If a BI-RADS 3 lesion shows any change during follow up, it will change into a BI-RADS 4 or 5 and biopsy should be performed.
The upper image shows a few amorphous calcifications initially classified as BI-RADS 3.
At 12 month follow up more than five calcifications were noted in a group.
The findings were now classified as BI-RADS 4.
This proved to be DCIS with invasive carcinoma
MAMMOGRAM SHOWED A 1.5CM MASS AND USG WAS ADVICED
WHICH SHOWED A PARELLEL SOILD WELL CIRCUMSCRIBED MASS THAT IS PROBABLY BENIGN
By subdividing Category 4 into 4A, 4B and 4C , it is encouraged that relevant probabilities for malignancy be indicated within this category so the patient and her physician can make an informed decision on the ultimate course of action
The CC mammographic image shows a finding This finding is sufficiently suspicious to justify biopsy.
A benign lesion, although unlikely, is a possibility.
This could be for instance ectopic glandular tissue within a heterogeneously dense breast.
This lesion is categorized as BI-RADS 4
Here another BI-RADS 4 abnormality.
The pathologist could report to you that it is sclerosing adenosis or ductal carcinoma in situ.
Both diagnoses are concordant with the mammographic findings.
Usg does not show all the features of fibroadenoma, no posterior enhancement
Hence birads 4
The findings are:
Mass with irregular shape.
Spiculated margin.
High density.
Ultrasound also shows irregular shape with indistinct margin.
This mass is categorized as BI-RADS 5.
Here images of a biopsy proven malignancy.
Due to the dense fibroglandular tissue the tumor is not well seen.
Ultrasound demonstrated a 37 mm mass with indistinct and angular margins and shadowing.
After chemotherapy the tumor is not visible on the mammogram.
Ultrasound showed shrinkage of the tumor to a 18 mm mass, which was categorized as BI-RADS 6.