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Lipoma - Case 2

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In this case, we have a 45-year-old female

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presenting for routine screening mammography.

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Image quality of the exam looks good.

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And as we look over sort of in a general way over

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this case, we don't see anything that stands out,

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uh, in particular being a normal finding.

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I'm gonna pull down just the left.

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Images, uh, just to demonstrate our finding here,

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and as we look at the SM views in both breasts,

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again, we don't see anything that stands out as

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particularly, uh, from the rest of the breast tissue.

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We see normal scattered fibroglandular density, uh,

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maybe a few benign type of calcifications, uh, and.

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Too worried about, uh, too exciting.

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As we scroll through the DBT images,

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um, you direct your attention to this

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lateral portion of the left breast.

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Uh, as we get to this point here, we can see

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there's this, uh, oval, uh, fat-containing

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mass, which has a thin circumscribed margin

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in the lateral aspect of the left breast.

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As we can scroll further along

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the study, see nothing else that.

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Gonna go back and stop there.

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If we use our tomo scroll bar to maybe get a sense

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of where this finding is, we can switch over to the

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DBT stack and should be sort of somewhere central

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ish, at least according to this, um, in the breast.

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Now again, we need to remember that the center

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on this scroll bar doesn't always necessarily

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mean the center of the breast, uh, in itself.

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So we gotta find the nipple.

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And we can see here the nipple here is,

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uh, directed a little more inferiorly.

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And so this finding.

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It's more likely to be even more superior,

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uh, in the breast than it, than we

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would think based on the scroll bar.

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So if you scroll through on our, uh, MLO

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view, we get to this point here, uh, mid

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portion of the left breast, um, looks

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more superior as we might have expected.

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Um, but again, if we look very

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closely at the margins, not as thin.

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Circumscribed margins and a

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mass containing entirely fat.

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This is compatible with a lipoma, which is benign,

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and the patient can go back 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

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