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Multiple, Bilateral Masses - Case 1

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This case, we have a 45-year-old female

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presenting for a screening mammogram. Image

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quality looks appropriate in this case.

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Looking right away, we can tell that

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she has one area of calcifications here.

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Her previous, um, biopsy, uh,

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the upper outer left breast.

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Looking at just the CC views,

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we can see.

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Uh.

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Already there are some focal asymmetries

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or masses probably in both breasts

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as we scroll through the DBT stack.

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We can see these things do look more

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like masses, even though we're only

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looking at them on single view currently.

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We can see at least one here, one here, and one here.

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And I'm sure if we looked further, we'd find

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even more. If we look over on the CC view on

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the left side and we see a similar appearance.

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Several, uh, small masses showing up

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as we scroll through the DBT stack,

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one here.

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This location

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here looks

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like there's probably one coming into being here.

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Uh, and as we scroll through, we can see even

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more of those similar on the, uh, MLO views.

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On this one, again, we can see some corresponding

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areas, uh, that look like they will correspond

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to the masses that we saw on the CC view.

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And as we scroll through those slowly, we can see,

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uh, multiple masses again, uh, come into view.

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This is true on both breasts. Um, as you're aware,

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uh, when we receive multiple bilateral oval

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circumscribed and secure masses, this is benign.

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There's nothing else we need to do here.

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As long as those masses aren't changing, uh, in

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comparison to the prior exam, or one is changing

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and the rest aren't, something like that, um,

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these can, uh, be considered benign. Most likely

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multiple cysts or potentially multiple fibroadenomas.

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And nothing else is needed.

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Now again, to meet that definition,

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you need to have, uh, two masses.

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You need to have at least three masses, and two of

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those have to be on one side and one on the other.

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Um, so sometimes you'll see something where you

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just get two on the one side and never on the other.

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That one wouldn't strictly meet the criteria.

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Again, we need to have two masses on

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one side, at least one on the other.

Report

Faculty

Ryan W. Woods, MD, MPH

Assistant Professor of Radiology

University of Wisconsin School of Medicine and Public Health

Tags

Women's Health

Tomosynthesis

Oncologic Imaging

Mammography

Breast

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