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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
This is a 61-year-old, uh, male who's
0:03
presenting with a palpable finding in the
0:06
left breast. For male exams, we'd start with
0:11
standard 2D full-field digital mammography.
0:14
On the left side, we can see that there is,
0:16
um, a subareolar, uh, focal asymmetry, which
0:22
looks like normal fibroglandular tissue
0:24
that we would see in a female breast.
0:27
And this likely corresponds
0:29
to his, uh, palpable finding.
0:32
We can see that this has a pattern of sort of
0:34
a flame-shaped appearance with interspersed
0:37
fat, looking like normal range of the tissue.
0:39
This would be considered the dendritic pattern
0:41
gynecomastia, and in this case, uh, I would
0:44
consider this at least moderate or marked.
0:47
Um, on the left side, asymmetric from the
0:50
right where he has just a small amount of
0:53
glandular tissue, uh, in the subareolar location.
0:56
This patient did end up having, uh, some
0:58
additional spot compression views on the left.
1:02
Um, but I'll show you, um, just the full-field
1:06
and this was likely done, uh, on account
1:08
of the palpable finding that he identified
1:11
was at a location that was remote from the NL.
1:15
Most of the time, male patients
1:17
present with a palpable finding, which is
1:19
beneath or directly below the nipple.
1:22
In this case, it was a little bit different
1:23
as he felt this finding a little bit, um,
1:25
further lateral from the nipple. But scrolling
1:29
through the tomosynthesis slices, we see that
1:31
this looks like normal fibroglandular tissue,
1:34
and the patient can be reassured that there, uh,
1:37
is no abnormality other than his normal mast.
Interactive Transcript
0:00
This is a 61-year-old, uh, male who's
0:03
presenting with a palpable finding in the
0:06
left breast. For male exams, we'd start with
0:11
standard 2D full-field digital mammography.
0:14
On the left side, we can see that there is,
0:16
um, a subareolar, uh, focal asymmetry, which
0:22
looks like normal fibroglandular tissue
0:24
that we would see in a female breast.
0:27
And this likely corresponds
0:29
to his, uh, palpable finding.
0:32
We can see that this has a pattern of sort of
0:34
a flame-shaped appearance with interspersed
0:37
fat, looking like normal range of the tissue.
0:39
This would be considered the dendritic pattern
0:41
gynecomastia, and in this case, uh, I would
0:44
consider this at least moderate or marked.
0:47
Um, on the left side, asymmetric from the
0:50
right where he has just a small amount of
0:53
glandular tissue, uh, in the subareolar location.
0:56
This patient did end up having, uh, some
0:58
additional spot compression views on the left.
1:02
Um, but I'll show you, um, just the full-field
1:06
and this was likely done, uh, on account
1:08
of the palpable finding that he identified
1:11
was at a location that was remote from the NL.
1:15
Most of the time, male patients
1:17
present with a palpable finding, which is
1:19
beneath or directly below the nipple.
1:22
In this case, it was a little bit different
1:23
as he felt this finding a little bit, um,
1:25
further lateral from the nipple. But scrolling
1:29
through the tomosynthesis slices, we see that
1:31
this looks like normal fibroglandular tissue,
1:34
and the patient can be reassured that there, uh,
1:37
is no abnormality other than his normal mast.
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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