Case Notes
History
Screening mammogram; the 66 yo patient is asymptomatic.Exam
Prior Study
None availableDicom
Findings
Technique | Correct Answer | Your Answer |
---|---|---|
|
No | NA |
The exam is limited by patient motion. |
No | NA |
The exam is limited by exclusion of tissue. |
No | NA |
The exam is limited by artifact. |
No | NA |
Breast Density | Correct Answer | Your Answer |
---|---|---|
There is a fibrofatty glandular pattern. |
No | NA |
There is a scattered fibroglandular pattern. |
Yes | NA |
There is a heterogeneously dense fibroglandular pattern. |
No | NA |
There is an extremely dense fibroglandular pattern. |
No | NA |
Mass | Correct Answer | Your Answer |
---|---|---|
There is a mass (masses) present. |
No | NA |
The mass is right/left/bilateral. |
N/A | NA |
The mass is new. |
N/A | NA |
The mass is stable. |
N/A | NA |
The mass is low density relative to the breast tissue |
N/A | NA |
The mass is equal density relative to the breast tissue |
N/A | NA |
The mass is high density relative to the breast tissue. |
N/A | NA |
The mass contains fat. |
N/A | NA |
|
N/A | NA |
There are associated calcifications. |
N/A | NA |
The calcifications are dystrophic. |
N/A | NA |
There are benign intramammary lymph nodes. |
No | NA |
Margins | Correct Answer | Your Answer |
---|---|---|
The margins of the mass are circumscribed. |
N/A | NA |
The margins of the mass are obscured. |
N/A | NA |
The margins of the mass are indistinct. |
N/A | NA |
The margins of the mass are spiculated. |
N/A | NA |
Calcifications | Correct Answer | Your Answer |
---|---|---|
There are calcifications. |
Yes | NA |
The calcifications are right/left/bilateral |
Yes | NA |
The calcifications are new. |
No | NA |
The calcifications are stable. |
N/A | NA |
The calcifications are benign (vascular, coarse dystrophic, secretory, skin, milk of calcium). |
Yes | NA |
The calcifications are suspicious (amorphous, coarse heterogeneous, fine pleomorphic, fine linear, fine linear and branching). |
No | NA |
The calcifications are diffusely distributed. |
Yes | NA |
The calcifications are regionally distributed. |
No | NA |
The calcifications are grouped. |
No | NA |
The calcifications are segmentally distributed. |
No | NA |
The calcifications are linearly distributed. |
No | NA |
Asymmetry | Correct Answer | Your Answer |
---|---|---|
There is an asymmetry (focal, regional, global). |
No | NA |
The asymmetry is right/left/bilateral. |
N/A | NA |
There is architectural distortion. |
Yes | NA |
The architectural distortion is right/left/bilateral. |
Yes | NA |
Associated Features | Correct Answer | Your Answer |
---|---|---|
There is nipple retraction. |
No | NA |
The nipple retraction is right/left/bilateral. |
N/A | NA |
There is skin thickening. |
No | NA |
The skin thickening is right/left/bilateral. |
N/A | NA |
Axilla | Correct Answer | Your Answer |
---|---|---|
There are morphologically abnormal lymph nodes. |
No | NA |
The morphologically abnormal lymph nodes are right/left/bilateral. |
N/A | NA |
Subareoalar Region | Correct Answer | Your Answer |
---|---|---|
There are abnormal ducts in the subareolar region. |
No | NA |
The abnormal ducts in the subareolar region are right/left/bilateral. |
N/A | NA |
Prior Surgery | Correct Answer | Your Answer |
---|---|---|
There are implants. |
No | NA |
The implants are subglandular/subpectoral. |
N/A | NA |
The implants are saline/silicone. |
N/A | NA |
There are changes related to prior surgery breast reduction/lumpectomy/surgical excision. |
Yes | NA |
The changes related to prior surgery are right/left/bilateral. |
Left | NA |
Impression
Expert Answer
There is architectural distortion in the upper outer right breast. BI-RADS Category 0: Mammography: Incomplete – Need Additional Imaging Evaluation and/or Prior Mammograms for Comparison
Your Answer
Recommendations & Acuity
Recommendations
Expert Answer
Spot compression views and targeted ultrasound of the upper outer right breast are recommended.
Your Answer
Acuity
Expert Answer
Emergent (Action Necessary now)