This document contains a series of case presentations from an imaging conference on women's health issues. Each case includes a brief patient history and imaging findings. Conference participants are asked to identify findings, provide differential diagnoses, and make recommendations. The cases cover a range of topics including breast imaging, obstetric ultrasound, gynecologic imaging, and oncologic imaging.

1. NERRS: Women’s Imaging
April 5, 2013
Panel of Unknown Cases
Tejas S. Mehta MD MPH
Assistant Professor of Radiology
Chief, Breast Imaging

2. Dr. Yiming Gao

3. HISTORY
• 61 yo female
• Strong family history of breast and ovarian
cancer
• Presents for routine screening
mammography

7. • What is the abnormality?
• What is your differential diagnosis?
• What are your recommendations?

8. Dr. Vandana Dialani

9. HISTORY
• 65 yo female
• Presents from OSH with worsening ‘left
breast swelling’ for 8-9 months
• New 1 month history of ‘change in left
nipple’

10. Current Bilateral Mammogram
RCC LCC RMLO LMLO

11. Current and Comparison Left Breast MGs
4 YRS PRIOR CURRENT 4 YRS PRIOR

12. US retroareolar region
US Left upper outer breast

13. • What are the findings?
• What would you do next?

15. • What are the findings?
• What is your differential diagnosis?
• What are your recommendations?

16. Dr. Ana Lourenco

17. HISTORY
• 36 yo female 30.5 weeks pregnant
• Referred with ‘multiple fetal anomalies’ for
fetal ultrasound

18. LUS – Cephalic

22. POSTNATAL BABYGRAM

23. • What are the findings?
• What is the diagnosis?

24. Dr. Anne Silas

25. HISTORY
• 40 yo female 8.5 weeks pregant
• S/P D&C for pregnancy implanted at site of
c-section scar

27. • 6 weeks post D&C patient presents with
heavy persistent bleeding
• For Pelvic US
• HCG = 451 mIU/mL

30. • What are the findings?
• What is the differential diagnosis?
• What are your recommendations?

35. • What is the diagnosis?
• What is the treatment?

36. Dr. Hedvig Hricak

37. HISTORY
• 42 yo female
• Recent immigrant from China
• C/O postcoital and intermenstrual bleeding
• Abnormal GYN exam
• Abnormal biopsy
• Further imaging performed

44. • What is the diagnosis?
• Staging?