0:00

Here's our next case. So here's a screening mammogram.

0:07

I'm just showing the side that had the finding.

0:12

So this patient was recalled from screening mammogram for a focal asymmetry in

0:16

the inner central posterior right breast. So these are the,

0:21

the reconstructed CVU images.

0:23

And I'm gonna now scroll through the tomosynthesis slices.

0:30

And I think this is a tough finding. You know,

0:31

I do see that there is an asymmetry there, but I do, I do think that I,

0:35

I see interspersed fat within it that makes me think that it could just be her

0:39

normal fibro glandular tissue here on the, the lateral view.

0:43

The same thing when I'm scrolling through it,

0:46

that finding blends in with the tissue where I, I think it's,

0:50

it might just be her normal tissue, but it's just she was recalled.

0:52

So we did additional spot compression views and the spot compression views with

0:56

tomosynthesis are really helpful to show that that just represents normal

0:59

overlapping breast tissue. So here's, um,

1:01

the two D spot compression views and here's our three D images. And um,

1:06

as I scroll through, I,

1:09

all I can see is her normal overlapping fibro glandular tissue.

1:13

When I follow the individual lines,

1:15

they are around fat lobules representing the fibro glandular tissue,

1:19

but I don't see a discrete mass or any area of architectural distortion.

1:23

So this was a asymmetry that was recalled.

1:26

And with an additional SP impression images,

1:29

we were able to confirm that this did not represent a true pathology.