0:00

This is a 70-year-old female, uh,

0:03

presenting for routine screening mammogram.

0:08

Looking at image quality, um, we have

0:10

good image quality in the right away.

0:13

You can see if the patient has

0:15

scar markers on both breasts.

0:17

In the right CC, you see that here,

0:19

the lateral breast and upper breast.

0:22

In the left, in the upper outer, uh,

0:25

breast as well, partially visualized.

0:27

Scar marker here, or full in this

0:29

scar marker, visualized here.

0:32

Right away,

0:32

on the right side we can see that there's

0:34

this area of architectural distortion, which

0:36

is quite prominent and contained within

0:38

that area of distortion is a biopsy clip.

0:43

Looking back at our prior exams, we know

0:44

this area to be, uh, stable and unchanged.

0:49

Taking along with this marker and a history of

0:52

previous lumpectomy in the right breast 10 o'clock

0:54

position, we know that this is, uh, just related

0:56

to benign postoperative lumpectomy findings.

0:59

It's not uncommon to see, uh, fairly exuberant, uh,

1:03

architectural distortion related to prior surgery.

1:06

Um, and you may also see some associated surgical

1:08

clips, although we don't see that in this case.

1:11

The biopsy marker, uh, in this case was

1:13

probably related to the fact that, uh,

1:15

we did identify this area of distortion.

1:17

It might have been changing or be more

1:19

prominent or perhaps developed some areas

1:21

calcifications, which a biopsy was recommended.

1:24

In this case, that biopsy was benign,

1:25

and so we only see the biopsy clip

1:28

left in place when we scroll through.

1:30

The, uh, DBT images doesn't offer a lot more,

1:34

uh, additional detail other than seeing that

1:37

architectural distortion to better effect.

1:39

And that associated biopsy clip.

1:45

Similar, uh, findings on the MLO view, seeing our very

1:48

typical postoperative, um, benign lumpectomy findings.

1:53

Now, if we didn't have a history of lumpectomy,

1:55

let's say we didn't have the clip in this case, um,

1:57

this would be considered very suspicious though

2:00

warrant further.

Post Lumpectomy - Benign Findings - Case 1

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0:00

This is a 70-year-old female, uh,

0:03

presenting for routine screening mammogram.

0:08

Looking at image quality, um, we have

0:10

good image quality in the right away.

0:13

You can see if the patient has

0:15

scar markers on both breasts.

0:17

In the right CC, you see that here,

0:19

the lateral breast and upper breast.

0:22

In the left, in the upper outer, uh,

0:25

breast as well, partially visualized.

0:27

Scar marker here, or full in this

0:29

scar marker, visualized here.

0:32

Right away,

0:32

on the right side we can see that there's

0:34

this area of architectural distortion, which

0:36

is quite prominent and contained within

0:38

that area of distortion is a biopsy clip.

0:43

Looking back at our prior exams, we know

0:44

this area to be, uh, stable and unchanged.

0:49

Taking along with this marker and a history of

0:52

previous lumpectomy in the right breast 10 o'clock

0:54

position, we know that this is, uh, just related

0:56

to benign postoperative lumpectomy findings.

0:59

It's not uncommon to see, uh, fairly exuberant, uh,

1:03

architectural distortion related to prior surgery.

1:06

Um, and you may also see some associated surgical

1:08

clips, although we don't see that in this case.

1:11

The biopsy marker, uh, in this case was

1:13

probably related to the fact that, uh,

1:15

we did identify this area of distortion.

1:17

It might have been changing or be more

1:19

prominent or perhaps developed some areas

1:21

calcifications, which a biopsy was recommended.

1:24

In this case, that biopsy was benign,

1:25

and so we only see the biopsy clip

1:28

left in place when we scroll through.

1:30

The, uh, DBT images doesn't offer a lot more,

1:34

uh, additional detail other than seeing that

1:37

architectural distortion to better effect.

1:39

And that associated biopsy clip.

1:45

Similar, uh, findings on the MLO view, seeing our very

1:48

typical postoperative, um, benign lumpectomy findings.

1:53

Now, if we didn't have a history of lumpectomy,

1:55

let's say we didn't have the clip in this case, um,

1:57

this would be considered very suspicious though

2:00

warrant further.

Report

Faculty

Ryan W. Woods, MD, MPH

Assistant Professor of Radiology

University of Wisconsin School of Medicine and Public Health

Lesson

Pre-Course Activities

Lesson

Introduction to Tomosynthesis

Lesson

Approach to Interpretation and Lesion Localization

Lesson

Normal Imaging Findings

Lesson

Asymmetries and Masses

Lesson

Gynecomastia

Lesson

Fat-containing Lesions

Lesson

Architectural Distortion

Lesson

Calcifications

Lesson

Associated Findings

Lesson

Postsurgical Findings

Post Lumpectomy - Benign Findings - Case 1