By Biren A. Shah
This booklet presents a concise assessment of crucial radiology findings for examining multimodality photographs of the breast. It contains over ninety situations that current sufferer background, radiologic findings, universal diagnoses, and dialogue issues, observed by way of over 360 fine quality electronic photos derived from mammography, ultrasound, MRI, and puppy modalities. It additionally provides concise pearls protecting the fundamentals of interventional breast methods; high-yield proof important to the perform of breast imaging; and a brief connection with the 5th variation of the yankee collage of Radiology Breast Imaging-Reporting and knowledge approach (BI-RADS) Atlas for mammography, ultrasound, and breast MRI. Breast Imaging evaluate: a brief advisor to crucial Diagnoses, 2nd Edition, is a helpful source for radiology citizens getting ready to take the middle and certifying tests in addition to for fellows and working towards radiologists drawn to reviewing the fundamentals of breast imaging interpretation and interventional procedures.
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Additional resources for Breast Imaging Review: A Quick Guide to Essential Diagnoses
623–4. Case 10 a Fig. 1 Galactocele 27 b 28 1 a b c Fig. 3 Fig. 2 Mammography and Ultrasound Review Case 11 Milk of Calcium CASE 11 MILK OF CALCIUM PATIENT HISTORY A 45-year-old female for a screening mammogram. RADIOLOGY FINDINGS Fig. 1 (a) Spot-magnification CC and (b) MLO images show a cluster of round calcifications at 3 o’clock in the left breast at middle depth. Fig. 2 Spot-magnification ML image of the left breast demonstrates the cluster of microcalcifications to have a curvilinear appearance.
2007;245:692–702. 32 a 1 b Fig. 1 a Fig. 2 b Mammography and Ultrasound Review Case 12 Fig. 3 Lymphoma 33 34 CASE 13 FIBROADENOMA PATIENT HISTORY A 29-year-old female with a palpable mass at 12 o’clock in the left breast. RADIOLOGY FINDINGS Fig. 1 (a) Grayscale and (b) color Doppler images show an oval circumscribed hypoechoic avascular mass at 12 o’clock, corresponding to the patient’s palpable mass. BI-RADS ASSESSMENT BI-RADS 2. Benign finding (following diagnostic workup and biopsy). 1 Mammography and Ultrasound Review • Juvenile-type fibroadenoma: – Is a “cellular” fibroadenoma – Has no leaflike growth pattern on pathology (which is a differentiating factor from phyllodes tumor) – Has a uniform stromal hypercellularity – Is usually seen between 10 and 20 years of age and rare in >45 years of age • Adult-type fibroadenoma: – Most common type – On pathology, has bland, fibroblastic stroma.
2. • There is a spectrum of myocutaneous flaps including the following: – TRAM flap – Latissimus dorsi myocutaneous (LDM) flap – Deep inferior epigastric perforator (DIEP) flap • Contraindications include the following: – Poor general health – Extensive abdominal scarring – Vascular disease – Locally advanced primary breast malignancy • Complications include the following: – Partial/complete loss of flap – Abdominal muscle weakness – Fat necrosis – Disease recurrence – Postreconstruction radiotherapy complications • Local recurrence rates are similar in patients with mastectomy and TRAM reconstruction vs.
Breast Imaging Review: A Quick Guide to Essential Diagnoses by Biren A. Shah