By Emily Conant, Cecilia Brennecke

This new quantity within the renowned Case assessment sequence in Radiology sequence stories a whole diversity of scientific concerns in breast imaging, together with mammographic positioning, calcifications, FNA, and ultrasound visual appeal of plenty. nearly 2 hundred situations, with one to 4 unknown photos and corresponding questions, probe your wisdom of a large choice of themes within the box. Accompanying solutions, statement, and references assist you to achieve a greater realizing of ways the proper analysis used to be reached. filled with thousands of top of the range photographs, this cheap, easy-to-use source bargains an effective way to sharpen your diagnostic abilities and research for exams.Features a simple case structure to facilitate the short place and assessment of particular information.Divides circumstances into establishing around, reasonable video game, and problem different types permitting you to evaluate your talent at 3 diverse degrees of complexity.Includes an inventory of questions following each one case - with solutions and rationales - plus a quick dialogue emphasizing attribute imaging gains, differential diagnostic concerns, and key issues of medical information.Provides distinctive statement and chosen worthy references on each one topic.Includes cross-references to Breast Imaging: The specifications, by means of Debra Ikeda, MD.

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Describe the bilateral breast findings. 2. What is the most likely cause of these masses? 3. Is there an increased incidence of malignancies in these patients? 4. What is the BI-RADS category? 45 A N S W E R S CASE 22 Neurofibromatosis the skin. Frequently, the breasts are difficult to evaluate on mammography due to the numerous masses, and through imaging is necessary because these patients often have a very difficult clinical exam. If there is concern over any mass not being on the skin, metallic markers may be placed and ultrasound may be necessary.

What is the next image to be performed? 4. What is the most likely diagnosis following the additional imaging? 33 A N S W E R S CASE 16 Artifacts—Chin Comment On first glance, there appears to be a large mass high in the axilla. This could possibly be a very large lymph node. However, the patient is asymptomatic. On inspection, the margin is slightly irregular and unsharp, suggesting that the focal asymmetry is actually artifactual. The MLO view is obtained in a 45° obliquity, and if the patient is not positioned carefully, the chin may project over the axilla and axillary tail, particularly in a woman with a kyphosis.

Is ultrasound indicated in this patient? 4. Discuss management of the clinical situation and the appropriate final BI-RADS category. 15 A N S W E R S CASE 7 Hormone Replacement Therapy MLO, premenopausal MLO, postmenopausal 1. The right breast image shows an increase in density and size. Previously, the breasts had scattered fibroglandular densities, and now they are heterogeneously dense. not the skin (no edema or skin thickening) is exogenous hormonal therapy, as in this case. The patient had begun taking a combined estrogen and progesterone supplement.

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