Interactive Transcript
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In this case, we have a 50-year-old female
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presenting for screening, uh, mammography.
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Um, looking at overall, we looking
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at image quality, as we always do.
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We can see this, right?
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MLO is a little bit, um, small
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in comparison to the left.
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Probably didn't get pulled in quite as much.
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Our technologist repeated the right MLO to attempt,
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try to get more pectoralis muscle in there.
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Didn't get a whole lot more,
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but at least we can verify.
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The technologist did try to do some more.
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Um, if we look at, uh, the MLO views only,
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for the moment already, we can see, um, some
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punctate, uh, calcifications look like they're
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projecting over both, uh, axillary regions.
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You might wonder if some of these have
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a, like a little bit more of a linear
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configuration, or maybe they're sort of a
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morphous calcifications in morphology.
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Certainly something that might be worrisome,
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um, in any other part of the breast.
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If we switch over to the DBT slices, however, we
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can see that, um, already on the lateralmost,
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uh, image slices, we can see some of that dense
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material which projects, uh, within the skin.
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We know it's within the skin because we're
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in the first few slices of the DBT stack.
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Um, and this is, uh, the very typical appearance for...
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Deodorant artifact.
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As I scroll through here, we'll see some of
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this, uh, deodorant artifact here in the sort
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of more posterior part of the breast, and we can
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see sort of this wave of, uh, material already
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all within the skin, um, as we move more, uh...
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Same is true on the other side.
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Again, we can ask our technologists
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to, um, have the patient, um, try to
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clean that area and repeat the images.
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Um, but in general, I would say in these cases
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where we already have the images acquired and
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potentially the patient has already gone on, uh,
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uh, and left the facility, um, this is a very small
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amount of deodorant artifact and really doesn't
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obscure or impede our ability to interpret the exam.
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And so we can probably just move on.
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Note that there is some deodorant artifact.
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And be okay with it.
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Um, in this case, there were no other findings
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that we needed to worry about, but interestingly,
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we do also see the deodorant artifact in
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the far lateral aspect on the CC view.
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Again, it has a very similar appearance,
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looking like amorphous or round calcifications,
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maybe some linear kind of distribution.
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Um, but as we scroll through again,
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as we get to the superior part of the breast,
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we can start to see some of those, uh,
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calcifications looking like they're within the skin.
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Um, certainly within a few slices, uh, the end
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of the imaging stack, and we can see those,
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uh, associated, uh, continuous fat deposits,
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which show we're very close to the skin.
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