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Clinical Breast Imaging: A Patient Focused Teaching File by Gilda Cardenosa MD FACR

By Gilda Cardenosa MD FACR

Prepared via a preeminent breast imaging professional, this case-based instructing dossier atlas provides a clinically orientated method of screening, diagnostic overview, and administration of sufferers with breast stipulations encountered by way of radiologists. Dr. Cardeñosa takes the reader via greater than a hundred and seventy genuine sufferer circumstances, from vintage "Aunt Minnies" to extra complicated and debatable difficulties in screening, diagnostic overview, and sufferer administration. instances are completely illustrated with transparent, sharp images—over 800 photos total—and contain a number of imaging reports, pathology experiences, and pathologic correlations the place applicable. Emphasis is on deciding upon the scientific value of abnormalities or capability abnormalities detected on images.

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Sample text

On ultrasound, a round mass with hetero geneous echotexture and shadowing is imaged corresponding to the palpable finding. S veral areas of hyperechogenicity (Fig. 12F, G, arrows), some curvilinear, others with associated shadowing (Fig. 12F, G, arrowheads), are noted consistent with the calcifications seen mamm graphi- cally. The mammographic findings are diagnostic of a yalinizing fibroadenoma with associated dystrophic calcifications. Although an ultrasound is sho wn here for completeness, the diagnosis is made on the mammo graphic findings.

In the e xamples presented, the right craniocaudal (F ig. 25. Right (A) and left (B) craniocaudal views, photographically coned anteriorly. How would you describe the findings? What is your working hypothesis, and how can it be tested? High-density material with linear (w avy) and punctate for ms involving the anterior aspect of the breasts represents an ar tifact. This is zinc o xide ointment (Desitin) on the skin. If there is an y question that this may represent calcifications, the patient is as ed if she applied something to her skin; she can be e xamined and asked to wipe her breast clean before follo w-up films are ta en to confi m partial or complete removal of the ar tifact.

BI-RADS® cate gory 2: benign finding is used if the calcifications are described in the bo of the repor t. Next screening mammogram is recommended in 1 year. 16. (Continued) Ultrasound image (F) in the radial (RAD) projection at the 2 o’clock position, 1 cm from the left nipple. One of se veral subcentimeter cysts in the upper outer quadrant of the left breast. Echo genic foci (arrows) and a linear focus of echo genicity (arrowheads) are noted in the dependent portion of the cyst. This is milk of calcium.

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