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Lipoma - Case 3

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0:00

Okay. This is a, um, 75-year-old female

0:03

presenting with a palpable abnormality in

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the inferior aspect of the left breast.

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Looking at image quality, these, uh, images look good.

0:12

This pec is a little bit concave.

0:14

Um, might wanna get a little more

0:15

pectoralis muscle in there, but it's okay.

0:18

IMFs are okay.

0:20

And if we focus on the left breast, on the CC

0:23

and O views, we can see our palpable BB marker

0:26

sort of in the medial inferior aspect of.

0:29

And already on this SMV, the, um, MLO view.

0:33

Pull that up.

0:33

Here we can see our pal marker, and there's

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an underlying mass, which is entirely fat

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containing, and there's a thin circumscribed margin

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surrounding, uh, that area of fat on the CC view.

0:44

If we look to try to find this area.

0:48

We'll have to look at the

0:48

inferior aspect of the breast.

0:50

So if we scroll down that area,

0:51

we can see our palpable marker.

0:53

But you can see that it's very difficult to see.

0:55

Um, perhaps you can't see it at all.

0:58

That area of fat in the same way.

1:00

Um, and this happens a lot with, uh, things

1:02

like lipoma or other fat-containing mass.

1:04

It can be very difficult to see in one view,

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but very well seen in another view, and this is

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because we can't see that thin margin very well.

1:11

So the fat just sort of blends into the background.

1:14

If we scroll through the DBT slices on our

1:17

MLO view where we're able to see a lot better,

1:19

we can again see that thin, uh, circumscribed

1:22

margin and it looks thin and circumscribed

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throughout the whole, uh, image stack, uh,

1:27

at the location of that fat-containing mass.

1:30

These imaging features are

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compatible with benign lipoma.

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Patient really doesn't need to

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go on with any further evaluation.

1:36

However, it could be confirmed

1:37

by ultrasound if he desired.

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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