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
In this case, we have a 61-year-old
0:04
female sending for a screening mammogram.
0:07
Image quality is good, good images.
0:12
Look just at the right breast on this case.
0:17
And looking at these SM views of the CC and
0:19
uh, MLO, um, we don't see anything that stands
0:24
out particularly, uh, in the right breast.
0:28
We switch over to the DBT images and
0:31
start at the inferior aspect of the
0:33
right breast and scroll superiorly.
0:36
When we get to this point here,
0:37
we got this area of asymmetry.
0:41
Um, and we might get the sense that there's
0:43
some, uh, fat surrounding it and potentially, uh,
0:48
encapsulated margin surrounding that area of asymmetry.
0:52
This area projects a little bit inferiorly on the
0:56
scroll bar, uh, uh, the CC view, but, uh, likely
1:03
nipple looks more inferiorly displaced on this image.
1:05
So we expect this probably is in the superior breast.
1:08
We start on the lateral side, on the MLO view.
1:12
Scroll through.
1:14
We get to this point, uh, a little bit in here where
1:17
we see, uh, something with a similar appearance here.
1:21
Thin encapsulated margins, like internal
1:25
density symmetry.
1:28
If you look at these two things in conjunction,
1:31
this looks like a fat-containing mass containing
1:34
some fibroglandular elements, uh, interspersed, and
1:38
then has a thin calcified margin around that mass.
1:41
These findings are compatible
1:42
with a benign hematoma.
1:43
Uh, no additional workup is needed, and
1:46
she can return to routine screening.
Interactive Transcript
0:00
In this case, we have a 61-year-old
0:04
female sending for a screening mammogram.
0:07
Image quality is good, good images.
0:12
Look just at the right breast on this case.
0:17
And looking at these SM views of the CC and
0:19
uh, MLO, um, we don't see anything that stands
0:24
out particularly, uh, in the right breast.
0:28
We switch over to the DBT images and
0:31
start at the inferior aspect of the
0:33
right breast and scroll superiorly.
0:36
When we get to this point here,
0:37
we got this area of asymmetry.
0:41
Um, and we might get the sense that there's
0:43
some, uh, fat surrounding it and potentially, uh,
0:48
encapsulated margin surrounding that area of asymmetry.
0:52
This area projects a little bit inferiorly on the
0:56
scroll bar, uh, uh, the CC view, but, uh, likely
1:03
nipple looks more inferiorly displaced on this image.
1:05
So we expect this probably is in the superior breast.
1:08
We start on the lateral side, on the MLO view.
1:12
Scroll through.
1:14
We get to this point, uh, a little bit in here where
1:17
we see, uh, something with a similar appearance here.
1:21
Thin encapsulated margins, like internal
1:25
density symmetry.
1:28
If you look at these two things in conjunction,
1:31
this looks like a fat-containing mass containing
1:34
some fibroglandular elements, uh, interspersed, and
1:38
then has a thin calcified margin around that mass.
1:41
These findings are compatible
1:42
with a benign hematoma.
1:43
Uh, no additional workup is needed, and
1:46
she can return to routine screening.
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
© 2025 Medality. All Rights Reserved.