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Normal Findings - Screening Mammogram - Deodorant Artifact Example 3

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Okay, in this case we have a 71-year-old

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female presenting for a screening mammogram.

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In terms of image quality, I think

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we have good image quality here.

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Um, good amount of pectoralis

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muscle and posterior tissue.

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You see nipple in profile in both views.

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We focus on just the MLO views of this patient.

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Uh, we can see on these SMV that there are a few,

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um, round, uh, calcifications up here in the left.

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Of course, we'd wanna investigate this a little bit

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further and look at prior exams to see if they're new.

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If they are new, we'd wanna make sure we

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look through, uh, try to determine a little

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bit more about morphology if we can.

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Of course, this is screening environment that we

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aren't the highest resolution images that we can

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acquire, but we wanna make sure we evaluate whether

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this is something that we need to call back or not.

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So if we look at just this left MLO view, um.

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You can see our calcifications and

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we'll switch over to the DBT stack.

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Now, one thing we noticed right away is that, uh,

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some of these calcifications or whatever we're

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looking at here, um, shows up in the very first

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imaging stack on the lateral aspect of the breast.

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We can see this is probably related to, uh, skin.

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We see some skin folds and skin findings here.

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We see those subcutaneous, uh, fat deposits.

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Um, and it's just, and the area that we're seeing

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is really in that first slice to scroll through.

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We don't see anything in the breast

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parenchyma, or even as we scroll

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all the way over to the medial side.

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So because it's in the first, uh, few slices

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on this lateral side, we know therefore these

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are, um, calcifications in or on the skin,

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potentially on, since this is the axilla, and

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this is very likely to be, um, some focal, um,

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deodorant artifact or sometimes, uh, some sort of

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sort of artifact we see.

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So because we see it here, uh, even if this is

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new, we really don't need to do anything about it.

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We just call this a normal and benign and.

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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

AI Technologies

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