Interpretation of Screening Mammography
Interpretation of Screening Mammography
Search Pattern Assist ?History
Exam
Findings
Technique
The exam is under/over penetrated. [Yes/No]
The exam is limited by patient motion. [Yes/No]
The exam is limited by exclusion of tissue. [Yes/No]
The exam is limited by artifact. [Yes/No]
Breast Density
There is a fibrofatty glandular pattern. [Yes/No]
There is a scattered fibroglandular pattern. [Yes/No]
There is a heterogeneously dense fibroglandular pattern.
[Yes/No]
There is an extremely dense fibroglandular pattern. [Yes/No]
Mass
There is a mass (masses) present. [Yes/No]
The mass is right/left/bilateral. [Yes/No]
The mass is new. [Yes/No]
The mass is stable. [Yes/No]
The mass is low density relative to the breast tissue [Yes/No]
The mass is equal density relative to the breast tissue [Yes/No]
The mass is high density relative to the breast tissue. [Yes/No]
The mass contains fat. [Yes/No]
The shape is round, oval, irregular. [Yes/No]
There are associated calcifications. [Yes/No]
The calcifications are dystrophic. [Yes/No]
There are benign intramammary lymph nodes. [Yes/No]
Margins
The margins of the mass are circumscribed. [Yes/No]
The margins of the mass are obscured. [Yes/No]
The margins of the mass are indistinct. [Yes/No]
The margins of the mass are spiculated. [Yes/No]
Calcifications
There are calcifications. [Yes/No]
The calcifications are right/left/bilateral [Yes/No]
The calcifications are new. [Yes/No]
The calcifications are stable. [Yes/No]
The calcifications are benign (vascular, coarse dystrophic, secretory, skin, milk of calcium). [Yes/No]
The calcifications are suspicious (amorphous, coarse heterogeneous, fine pleomorphic, fine linear, fine linear and branching).
[Yes/No]
The calcifications are diffusely distributed. [Yes/No]
The calcifications are regionally distributed. [Yes/No]
The calcifications are grouped. [Yes/No]
The calcifications are segmentally distributed. [Yes/No]
The calcifications are linearly distributed. [Yes/No]
Asymmetry
There is an asymmetry (focal, regional, global). [Yes/No]
The asymmetry is right/left/bilateral. [Yes/No]
There is architectural distortion. [Yes/No]
The architectural distortion is right/left/bilateral. [Yes/No]
Associated Features
There is nipple retraction. [Yes/No]
The nipple retraction is right/left/bilateral. [Yes/No]
There is skin thickening. [Yes/No]
The skin thickening is right/left/bilateral. [Yes/No]
Axilla
There are morphologically abnormal lymph nodes. [Yes/No]
The morphologically abnormal lymph nodes are right/left/bilateral. [Yes/No]
Subareolar Region
There are abnormal ducts in the subareolar region. [Yes/No]
The abnormal ducts in the subareolar region are right/left/bilateral. [Yes/No]
Prior Surgery
There are implants. [Yes/No]
The implants are subglandular/subpectoral. [Yes/No]
The implants are saline/silicone. [Yes/No]
There are changes related to prior surgery breast reduction/lumpectomy/surgical excision. [Yes/No]
The changes related to prior surgery are right/left/bilateral. [Yes/No]
Impression
BI-RADS
-
BI-RADS:
Category 0: Mammography: Incomplete – Need Additional Imaging Evaluation and/or Prior Mammograms for Comparison
Category 1: Negative
Category 2: Benign
Category 3: Probably Benign
Category 4: Suspicious Mammography
Category 4A: Low suspicion for malignancy
Category 4B: Moderate suspicion for malignancy
Category 4C: High suspicion for malignancy
Category 5: Highly Suggestive of Malignancy
Category 6: Known Biopsy-Proven Malignancy
