0:00

Here we have a 50-year-old female presenting

0:02

for a screening mammogram. Image

0:04

quality looks, uh, at least adequate

0:06

in this case.

0:07

This, uh, pectoralis muscle is a little bit concave.

0:10

Uh, not the best.

0:10

Our technologist did get a repeat view,

0:13

and trying to get more IMFs and more.

0:17

Already on these SM views, we can see that the

0:19

patient has, uh, at least a couple areas that look

0:22

like, uh, masses, and we can investigate further

0:25

by looking into the, um, tomosynthesis slices individually.

0:29

As we scroll through from inferior to superior

0:31

here, the right CC view, we see this large mass

0:33

comes into view, uh, immediately here, as well

0:36

as, um, smaller mass here, further out lateral.

0:41

And we'll scroll through.

0:42

So far we see at least two on.

0:46

If we scroll through on the left CC view, um, you

0:49

can see several masses again coming to view, one

0:51

here very far out, one here, at least one here.

0:54

So we know already if we can, uh, indeed

0:57

verify that these are on the MLO views as well,

1:00

then we can verify that this is multiple bilateral

1:03

masses and therefore be considered benign.

1:06

So as we scroll through, right away, we see this

1:07

large mass in the inferior breast, and we also see

1:10

the smaller one up here in the superior, uh, breast.

1:14

A definition, uh, for mass.

1:18

On the left-hand side, we see

1:19

something similar with multiple masses.

1:21

Again, identify which correspond. The one we

1:23

see on our CC at one superior or central here,

1:27

and maybe perhaps a little bit inferior here.

1:29

Clearly meeting our criteria for multiple bilateral

1:32

masses, and this can be considered benign.

Multiple, Bilateral Masses - Case 2

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0:00

Here we have a 50-year-old female presenting

0:02

for a screening mammogram. Image

0:04

quality looks, uh, at least adequate

0:06

in this case.

0:07

This, uh, pectoralis muscle is a little bit concave.

0:10

Uh, not the best.

0:10

Our technologist did get a repeat view,

0:13

and trying to get more IMFs and more.

0:17

Already on these SM views, we can see that the

0:19

patient has, uh, at least a couple areas that look

0:22

like, uh, masses, and we can investigate further

0:25

by looking into the, um, tomosynthesis slices individually.

0:29

As we scroll through from inferior to superior

0:31

here, the right CC view, we see this large mass

0:33

comes into view, uh, immediately here, as well

0:36

as, um, smaller mass here, further out lateral.

0:41

And we'll scroll through.

0:42

So far we see at least two on.

0:46

If we scroll through on the left CC view, um, you

0:49

can see several masses again coming to view, one

0:51

here very far out, one here, at least one here.

0:54

So we know already if we can, uh, indeed

0:57

verify that these are on the MLO views as well,

1:00

then we can verify that this is multiple bilateral

1:03

masses and therefore be considered benign.

1:06

So as we scroll through, right away, we see this

1:07

large mass in the inferior breast, and we also see

1:10

the smaller one up here in the superior, uh, breast.

1:14

A definition, uh, for mass.

1:18

On the left-hand side, we see

1:19

something similar with multiple masses.

1:21

Again, identify which correspond. The one we

1:23

see on our CC at one superior or central here,

1:27

and maybe perhaps a little bit inferior here.

1:29

Clearly meeting our criteria for multiple bilateral

1:32

masses, and this can be considered benign.

Report

Faculty

Ryan W. Woods, MD, MPH

Assistant Professor of Radiology

University of Wisconsin School of Medicine and Public Health

Lesson

Pre-Course Activities

Lesson

Introduction to Tomosynthesis

Lesson

Approach to Interpretation and Lesion Localization

Lesson

Normal Imaging Findings

Lesson

Asymmetries and Masses

Lesson

Gynecomastia

Lesson

Fat-containing Lesions

Lesson

Architectural Distortion

Lesson

Calcifications

Lesson

Associated Findings

Lesson

Postsurgical Findings

Multiple, Bilateral Masses - Case 2