0:00

In this case, we have a 40-year-old, uh, female

0:02

presenting for a baseline screening mammogram.

0:07

Um, looking at our image quality, we see that

0:09

we have good quality. Muscles are appropriate,

0:12

position, good IMF, nipple in profile.

0:16

Now, right away we see this patient

0:18

has extremely dense, uh, breast tissue.

0:22

So we pull down just the CC views first.

0:25

Um.

0:26

We can see that it's a little bit difficult

0:27

to see, of course, through the, um, but we get

0:30

the suggestion that there's some rounded, uh,

0:33

dense mass here in the right breast. Looks like

0:35

it's potentially subareolar, um, based on just the.

0:40

If we look at the DBT images as we scroll

0:42

through, um, we can see that projects

0:45

a little bit on the inferior side.

0:47

Um, and looking at margins, we can see

0:49

that we can see at least some circumscribed

0:52

margins and potentially more here, although

0:55

some of them are probably obscured.

0:57

So we have an oval mass with circumscribed margins.

1:01

If we look at the right MLO view,

1:03

try to find a corresponding finding.

1:05

Can see right away on this SM view that there's,

1:07

probable corresponding mass in the

1:09

inferior aspect of the right breast.

1:11

We scroll through the DBT images again.

1:14

Um, this mass comes into, uh, best resolution,

1:17

um, sort of on this a little bit projecting

1:20

lateral here, although we'd have to wonder about

1:22

where this sits in relation to this node here.

1:25

Um, and we can see, uh, an oval mass

1:28

with predominantly circumscribed margins.

1:30

We don't really see the back edge of the

1:31

mass here, but it's difficult to pull in

1:33

this inferior part of the right breast.

1:35

The patient was subsequently

1:36

called back for this mass.

1:38

Um, she had an ultrasound of the area which showed

1:40

classic imaging features of a fibroadenoma, with an oval

1:43

circumscribed mass, which is homogeneously hypoechoic.

1:46

Um, and she subsequently elected, uh,

1:49

for short interval follow-up, which is

1:51

appropriate in the baseline situations.

Solitary Mass - Fibroadenoma

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0:00

In this case, we have a 40-year-old, uh, female

0:02

presenting for a baseline screening mammogram.

0:07

Um, looking at our image quality, we see that

0:09

we have good quality. Muscles are appropriate,

0:12

position, good IMF, nipple in profile.

0:16

Now, right away we see this patient

0:18

has extremely dense, uh, breast tissue.

0:22

So we pull down just the CC views first.

0:25

Um.

0:26

We can see that it's a little bit difficult

0:27

to see, of course, through the, um, but we get

0:30

the suggestion that there's some rounded, uh,

0:33

dense mass here in the right breast. Looks like

0:35

it's potentially subareolar, um, based on just the.

0:40

If we look at the DBT images as we scroll

0:42

through, um, we can see that projects

0:45

a little bit on the inferior side.

0:47

Um, and looking at margins, we can see

0:49

that we can see at least some circumscribed

0:52

margins and potentially more here, although

0:55

some of them are probably obscured.

0:57

So we have an oval mass with circumscribed margins.

1:01

If we look at the right MLO view,

1:03

try to find a corresponding finding.

1:05

Can see right away on this SM view that there's,

1:07

probable corresponding mass in the

1:09

inferior aspect of the right breast.

1:11

We scroll through the DBT images again.

1:14

Um, this mass comes into, uh, best resolution,

1:17

um, sort of on this a little bit projecting

1:20

lateral here, although we'd have to wonder about

1:22

where this sits in relation to this node here.

1:25

Um, and we can see, uh, an oval mass

1:28

with predominantly circumscribed margins.

1:30

We don't really see the back edge of the

1:31

mass here, but it's difficult to pull in

1:33

this inferior part of the right breast.

1:35

The patient was subsequently

1:36

called back for this mass.

1:38

Um, she had an ultrasound of the area which showed

1:40

classic imaging features of a fibroadenoma, with an oval

1:43

circumscribed mass, which is homogeneously hypoechoic.

1:46

Um, and she subsequently elected, uh,

1:49

for short interval follow-up, which is

1:51

appropriate in the baseline situations.

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

Solitary Mass - Fibroadenoma