0:01

This is a 67-year-old female presenting

0:02

for screening mammogram.

0:04

This is the image quality, looks pretty good in this case.

0:07

This pectoralis muscle is a little bit, uh, small.

0:10

We'd expect usually a little bit more, more

0:11

appearance like this of a concave margin.

0:16

IMS look okay in this case.

0:18

Right away we can see in the right breast,

0:20

the patient has had prior, previous surgery.

0:22

We know that because we can see multiple

0:25

surgical clips in the CC, MLO view.

0:29

Then we can also see an associated

0:31

scar marker on the skin.

0:35

Scrolling through this area,

0:38

uh, the findings are typical.

0:40

We see some areas of architectural distortion.

0:43

Sometimes we see some, uh, centralized

0:45

fat in there, most compatible with, uh,

0:48

fat necrosis, which hasn't calcified yet.

0:51

Um, and on the MLO view, we see similar

0:53

imaging findings with an area of architectural

0:55

distortion centered around these surgical clips.

0:58

And some, uh, interspersed fat in the surgical site.

1:02

These findings are all considered benign.

1:04

Um, there's nothing we need to do here,

1:06

and no further workup is recommended.

1:09

Of course, in all these exams,

1:10

since we know the patient's had a history of cancer,

1:13

we wanna be a little bit more, um, sensitive to

1:16

identifying any potential additional findings.

1:19

There are no additional findings

1:20

of which suspicious in this case, so we

1:21

can call it benign, BI-RADS 2, recommend.

Post Lumpectomy - Benign Findings - Case 2

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0:01

This is a 67-year-old female presenting

0:02

for screening mammogram.

0:04

This is the image quality, looks pretty good in this case.

0:07

This pectoralis muscle is a little bit, uh, small.

0:10

We'd expect usually a little bit more, more

0:11

appearance like this of a concave margin.

0:16

IMS look okay in this case.

0:18

Right away we can see in the right breast,

0:20

the patient has had prior, previous surgery.

0:22

We know that because we can see multiple

0:25

surgical clips in the CC, MLO view.

0:29

Then we can also see an associated

0:31

scar marker on the skin.

0:35

Scrolling through this area,

0:38

uh, the findings are typical.

0:40

We see some areas of architectural distortion.

0:43

Sometimes we see some, uh, centralized

0:45

fat in there, most compatible with, uh,

0:48

fat necrosis, which hasn't calcified yet.

0:51

Um, and on the MLO view, we see similar

0:53

imaging findings with an area of architectural

0:55

distortion centered around these surgical clips.

0:58

And some, uh, interspersed fat in the surgical site.

1:02

These findings are all considered benign.

1:04

Um, there's nothing we need to do here,

1:06

and no further workup is recommended.

1:09

Of course, in all these exams,

1:10

since we know the patient's had a history of cancer,

1:13

we wanna be a little bit more, um, sensitive to

1:16

identifying any potential additional findings.

1:19

There are no additional findings

1:20

of which suspicious in this case, so we

1:21

can call it benign, BI-RADS 2, recommend.

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 2