0:00

So now let's start with some cases. So here's our, our first case.

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This is a patient who had a, her screening mammogram with um,

0:06

just full field digital mammogram. So she did not have tomosynthesis,

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and I'm gonna just leave this for a second.

0:11

I want just have you take a look at it and see if you see any findings that

0:15

might be, um, worth recalling. So

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this patient, um,

0:23

was noted to have two asymmetries on her right m l o view.

0:27

I just have a zoomed in view. This is still that two d mammogram,

0:30

the full field digital mammogram without tomosynthesis. And, um,

0:35

they, these two different findings were identified. Uh,

0:39

so the patient was recalled for a, a, a callback mammogram.

0:43

At our institution we always do callback mammograms with tomosynthesis.

0:46

So I have here,

0:47

there are screening mammogram on the left showing those two asymmetries.

0:52

And then we have the, um, tomosynthesis mammogram on the right.

0:55

And I'm just gonna scroll through it and I think, um, do need to start,

0:59

just kinda keep your eyes on the lower part of the breast where we saw that,

1:02

that lower asymmetry. And when I'm scrolling through,

1:07

I see overlapping fibro glandular tissue.

1:09

I see these lines that are crossing in that area of the breast,

1:13

but I'm not seeing any discreet mass. I don't see any distortion. Um,

1:19

and, and so that finding that we saw on the two D mammogram just represents

1:23

overlapping fiber glandular tissue. Similarly, when,

1:26

if you kind of look and now focus more on that retro alar part of the breast

1:31

where we saw that, that asymmetry right behind the nipple,

1:34

now that I'm scrolling through using the tomosynthesis slices, that is,

1:39

um, appears more continuous with the rest of her dense breast tissue.

1:43

There is no discrete mass. There's no distortion.

1:45

And that finding again also represents her normal fibro glandular tissue.

1:49

So this is a patient who was recalled from screening mammogram for um,

1:53

asymmetries, but if she had had her screening mammogram with tomosynthesis,

1:57

she likely would not have, um, needed to be recalled.