Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
1 topic, 1 min.
7 topics, 21 min.
Welcome to Advanced Tomosynthesis Mastery Course
1 m.Introduction to Tomosynthesis (DBT) - Why Learn about Tomosynthesis?
3 m.Image Acquisition Technique, Positioning, and Physics
5 m.Screening & Diagnostic Performance of Tomosynthesis
4 m.CAD/AI in Tomosynthesis
2 m.Image Quality and Common Artifacts
8 m.Motion Artifact Case Example on Tomosynthesis
2 m.5 topics, 23 min.
10 topics, 29 min.
Normal Findings - Palpable Lump Focal Fibroglandular Tissue
4 m.Normal Findings - Palpable Lump Unilateral Axillary
4 m.Normal Findings - Palpable Lump Bilateral Axillary
4 m.Normal Findings - Screening Mammogram - Calcifications
3 m.Normal Findings - Screening Mammogram - Dermal Calcifications
3 m.Normal Findings - Screening Mammogram - Deodorant Artifact Example 1
4 m.Normal Findings - Screening Mammogram - Deodorant Artifact Example 2
3 m.Normal Findings - Screening Mammogram - Deodorant Artifact Example 3
2 m.Normal Findings - History of Lumpectomy
4 m.Normal Findings - Diagnostic Mammogram after Right Breast Masses on Screening
4 m.8 topics, 24 min.
Mammographic Asymmetries and Masses - Overview
7 m.Asymmetry - Invasive Ductal Carcinoma
3 m.Focal Asymmetry - Focal Fibroglandular Tissue - Benign
4 m.Developing Asymmetry
4 m.Solitary Mass - Fibroadenoma
2 m.Solitary Mass - Malignancy
3 m.Multiple, Bilateral Masses - Case 1
3 m.Multiple, Bilateral Masses - Case 2
2 m.3 topics, 4 min.
8 topics, 18 min.
5 topics, 17 min.
Architectural Distortion on Tomosynthesis - Imaging & Management - Overview
6 m.Pseudodistortion on Screening Mammogram, Normal on DBT
4 m.Architectural Distortion - Radial Scar / Complex Sclerosing Lesion
4 m.Architectural Distortion - Radiating Lines, Asymmetry / Invasive Ductal Carcinoma (IDC)
3 m.Architectural Distortion - Radiating Lines, Mass / Invasive Lobular Carcinoma (ILC)
3 m.8 topics, 22 min.
Calcifications on Tomosynthesis - Overview
5 m.Pseudocalcifications - Case 1
3 m.Pseudocalcifications - Case 2
3 m.Calcifications - Typically Benign - Milk of Calcium - Case 1
3 m.Calcifications - Typically Benign - Milk of Calcium - Case 2
2 m.Calcifications - Suspicious - Amorphous / Malignancy (BI-RADS 4B)
4 m.Calcifications - Suspicious - Coarse Heterogeneous / Benign
2 m.Calcifications - Suspicious - Segmental Fine Linear Branching / Invasive Ductal Carcinoma (BI-RADS 4C)
4 m.7 topics, 18 min.
Associated Nipple Retraction, Palpable Mass / Invasive Ductal Carcinoma
3 m.Axillary Adenopathy - Unilateral / Chronic Lymphocytic Leukemia (CLL)
3 m.Axillary Adenopathy - Bilateral / History of Chronic Lymphocytic Leukemia (CLL)
2 m.Skin Thickening - Prior Lumpectomy, Post Radiation
2 m.Skin Thickening, Asymmetry - Inflammatory Carcinoma / Invasive Ductal Carcinoma
4 m.Skin Thickening, Calcifications - Inflammatory Carcinoma / Invasive Ductal Carcinoma
3 m.Skin Thickening, Mass - Locally Advanced Breast Carcinoma
3 m.9 topics, 19 min.
Post Breast Reduction - Case 1
4 m.Post Breast Reduction - Case 2
2 m.Post Breast Reduction - Case 3
2 m.Post Lumpectomy - Benign Findings - Case 1
3 m.Post Lumpectomy - Benign Findings - Case 2
2 m.Post Lumpectomy - Recurrence
5 m.Post Lumpectomy - Benign Fat Necrosis
3 m.Silicone Injection
3 m.Concluding Remarks
1 m.0:00
This is a 59-year-old female presenting for a routine
0:03
screening mammogram. We're showing, uh, both
0:07
the CC and MLO views. Uh, image quality looks
0:10
appropriate, good pectoralis muscles and IMF.
0:13
Looks good one.
0:15
Profile, at least one view.
0:18
Direct your attention to the right breast.
0:21
If we first look at the CC view SM, we see a
0:23
few scattered, typically benign calcifications
0:26
and some scattered fibroglandular density breast tissue.
0:29
There are no findings that stand
0:30
out for the, uh, CC SM view.
0:34
If we look at the SM right from the MLO view,
0:37
we again see our scattered, uh, densities,
0:41
typically benign calcifications, and then
0:43
this asymmetry here, which sort of stands out.
0:45
If we investigate that a little bit further
0:47
with our tomosynthesis, we'll start in
0:49
the lateral aspect and scroll medially.
0:52
As we get to that point, we see, um, this
0:55
asymmetry that does stand out amongst the,
0:57
uh, remainder of the background tissue.
1:00
Now, at this point, we're gonna call it an
1:02
asymmetry 'cause we only see it on one view, but
1:04
you might wonder if there's some radiating lines,
1:07
uh, coming out from the CI that look like a little
1:09
bit more straightened than you might expect.
1:14
So we'd want to investigate that further.
1:16
This patient was called back for this finding,
1:18
and she subsequently had a diagnostic exam.
1:22
We got an XCCL spot view,
1:25
see if we could find that.
1:26
Lo and behold, could you see the same,
1:29
uh, similar appearing finding on the XCCL
1:31
view, making this at least focal asymmetry,
1:33
if not a mass. We see corresponding
1:38
uh,
1:39
asymmetry here on the upper right
1:41
breast. Switch over to the DBT images,
1:45
have a look at those, scrolling
1:47
from the inferior aspect first.
1:49
Um, and going superiorly, you would
1:51
stop here, uh, at this finding here.
1:54
And we at least look at this and
1:55
think there might be a mass here.
1:57
And I think you do see some radiating
1:59
lines here, which, uh, are consistent with
2:02
some associated architectural distortion.
2:05
If we look at, uh, the MLO view again,
2:08
we see something similar, right?
2:11
Our mass is there again.
2:13
We see some straightening lines,
2:17
certainly a suspicious seizure, which warrants
2:19
further evaluation with diagnostic ultrasound.
2:22
This patient underwent a diagnostic
2:24
ultrasound directed to the right breast.
2:26
At 10 o'clock, we see a corresponding
2:28
hypoechoic, irregular mass with some
2:30
angular margins, some indistinct margins.
2:33
Clearly corresponds to the imaging finding
2:35
we see, uh, on the mammogram views.
2:38
Uh, this was subsequently — it's
2:40
compatible with ductal carcinoma.
2:43
The patient went on for further treatment.
Interactive Transcript
0:00
This is a 59-year-old female presenting for a routine
0:03
screening mammogram. We're showing, uh, both
0:07
the CC and MLO views. Uh, image quality looks
0:10
appropriate, good pectoralis muscles and IMF.
0:13
Looks good one.
0:15
Profile, at least one view.
0:18
Direct your attention to the right breast.
0:21
If we first look at the CC view SM, we see a
0:23
few scattered, typically benign calcifications
0:26
and some scattered fibroglandular density breast tissue.
0:29
There are no findings that stand
0:30
out for the, uh, CC SM view.
0:34
If we look at the SM right from the MLO view,
0:37
we again see our scattered, uh, densities,
0:41
typically benign calcifications, and then
0:43
this asymmetry here, which sort of stands out.
0:45
If we investigate that a little bit further
0:47
with our tomosynthesis, we'll start in
0:49
the lateral aspect and scroll medially.
0:52
As we get to that point, we see, um, this
0:55
asymmetry that does stand out amongst the,
0:57
uh, remainder of the background tissue.
1:00
Now, at this point, we're gonna call it an
1:02
asymmetry 'cause we only see it on one view, but
1:04
you might wonder if there's some radiating lines,
1:07
uh, coming out from the CI that look like a little
1:09
bit more straightened than you might expect.
1:14
So we'd want to investigate that further.
1:16
This patient was called back for this finding,
1:18
and she subsequently had a diagnostic exam.
1:22
We got an XCCL spot view,
1:25
see if we could find that.
1:26
Lo and behold, could you see the same,
1:29
uh, similar appearing finding on the XCCL
1:31
view, making this at least focal asymmetry,
1:33
if not a mass. We see corresponding
1:38
uh,
1:39
asymmetry here on the upper right
1:41
breast. Switch over to the DBT images,
1:45
have a look at those, scrolling
1:47
from the inferior aspect first.
1:49
Um, and going superiorly, you would
1:51
stop here, uh, at this finding here.
1:54
And we at least look at this and
1:55
think there might be a mass here.
1:57
And I think you do see some radiating
1:59
lines here, which, uh, are consistent with
2:02
some associated architectural distortion.
2:05
If we look at, uh, the MLO view again,
2:08
we see something similar, right?
2:11
Our mass is there again.
2:13
We see some straightening lines,
2:17
certainly a suspicious seizure, which warrants
2:19
further evaluation with diagnostic ultrasound.
2:22
This patient underwent a diagnostic
2:24
ultrasound directed to the right breast.
2:26
At 10 o'clock, we see a corresponding
2:28
hypoechoic, irregular mass with some
2:30
angular margins, some indistinct margins.
2:33
Clearly corresponds to the imaging finding
2:35
we see, uh, on the mammogram views.
2:38
Uh, this was subsequently — it's
2:40
compatible with ductal carcinoma.
2:43
The patient went on for further treatment.
Report
Faculty
Ryan W. Woods, MD, MPH
Assistant Professor of Radiology
University of Wisconsin School of Medicine and Public Health
Tags
Women's Health
Ultrasound
Tomosynthesis
Oncologic Imaging
Mammography
Breast
© 2025 Medality. All Rights Reserved.