By Biren A. Shah
This publication presents a concise assessment of crucial radiology findings for examining multimodality pictures of the breast. It comprises over ninety instances that current sufferer background, radiologic findings, universal diagnoses, and dialogue issues, observed by way of over 360 high quality electronic photographs derived from mammography, ultrasound, MRI, and puppy modalities. It additionally offers concise pearls protecting the fundamentals of interventional breast techniques; high-yield evidence important to the perform of breast imaging; and a brief connection with the 5th variation of the yank collage of Radiology Breast Imaging-Reporting and knowledge approach (BI-RADS) Atlas for mammography, ultrasound, and breast MRI. Breast Imaging overview: a brief advisor to crucial Diagnoses, 2nd Edition, is a worthwhile source for radiology citizens getting ready to take the center and certifying checks in addition to for fellows and working towards radiologists attracted 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
RADIOLOGY FINDINGS Fig. 1 Bilateral (a, b) CC and (c, d) MLO images show a focal asymmetry in the retroareolar left breast, corresponding to the triangular marker indicating a palpable mass (circle marker corresponds to a skin mole). The right breast mammogram is negative. 17 • Clinically, it may present as pain, breast enlargement, diffuse thickening, or palpable thickening behind the nipple. • Three patterns of gynecomastia have been described: nodular, dendritic, and diffuse. • Common mammographic appearance is a triangular- or flame-shaped density present behind the nipple or diffuseincreased density.
Nipple-areolar complex: normal anatomy and benign and malignant processes. Radiographics. 2009;29:509–23. Case 14 Paget’s Disease 37 a c Fig. 1 b d 38 a Fig. 2 1 b Mammography and Ultrasound Review Case 15 Mastitis CASE 15 MASTITIS 39 DISCUSSION Fig. 1 (a) CC and (b) MLO images show an asymmetry in the central anterior left breast. Fig. 2 (a, b) Grayscale and (c) color Doppler ultrasound images show skin thickening and edematous tissue. • Mastitis can present with pain, skin edema, erythema, and a palpable mass.
32–7. Cyrlak D, Pahl M, Carpenter SE. Breast imaging case of the day. Radiographics. 1999;19:549–51. Mandell J. Core radiology: a visual approach to diagnostic imaging. 1st ed. Cambridge: Cambridge University Press; 2013. p. 625. Case 13 Fig. 1 Fibroadenoma 35 a b 36 CASE 14 PAGET’S DISEASE 1 Mammography and Ultrasound Review DISCUSSION BI-RADS ASSESSMENT • Paget’s disease is an extension of carcinoma to the epidermal layers of the nipple. • Often associated with an underlying DCIS and less commonly with IDC.