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Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
PET Imaging
Pediatric Imaging
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Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
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Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
7 topics, 19 min.
3 topics, 15 min.
3 topics, 4 min.
0:00
Another screening mammogram. This was a case that was,
0:05
uh, recalled for a possible architectural distortion in the right breast.
0:09
So sometimes we'll we'll see on a, a full view,
0:13
an area that we question whether it's real, it's truly distorted or not.
0:16
We wanna have them come back to take an a closer look. So this was, um,
0:20
identified by the radiologist reading the screening mammogram.
0:26
I'm gonna show now the two D images. I'm gonna scroll through and see if we can
0:33
appreciate any distortion. I'm gonna circle,
0:36
this is where the finding was on her, on the two D image, but
0:41
when I'm scrolling through now on the three D imaging
0:45
and I'm following individual lines, I can scroll in and out of that area.
0:49
And there's not any single slice that I can pause on where I see a true
0:53
architectural distortion. So I think what, you know,
0:57
what we saw on that initial two D mammogram was, uh,
1:02
just the summation of normal overlapping tissue.
1:04
We did a Spock impression view also.
1:06
And similarly we see normal overlapping fibro glandular tissue.
1:11
There's no area that I can pause on that,
1:13
where I see a true architectural distortion. So this is another example of,
1:18
of how, um, of how uh, there are some,
1:22
there are many findings that with, with a tomosynthesis we can, uh,
1:27
clarify as being normal tissue and not pathology without requiring a biopsy.
1:35
We did an ultrasound at this area. Um, we showed normal,
1:38
normal breast tissue and the patient was, um, returned to screening.
Interactive Transcript
0:00
Another screening mammogram. This was a case that was,
0:05
uh, recalled for a possible architectural distortion in the right breast.
0:09
So sometimes we'll we'll see on a, a full view,
0:13
an area that we question whether it's real, it's truly distorted or not.
0:16
We wanna have them come back to take an a closer look. So this was, um,
0:20
identified by the radiologist reading the screening mammogram.
0:26
I'm gonna show now the two D images. I'm gonna scroll through and see if we can
0:33
appreciate any distortion. I'm gonna circle,
0:36
this is where the finding was on her, on the two D image, but
0:41
when I'm scrolling through now on the three D imaging
0:45
and I'm following individual lines, I can scroll in and out of that area.
0:49
And there's not any single slice that I can pause on where I see a true
0:53
architectural distortion. So I think what, you know,
0:57
what we saw on that initial two D mammogram was, uh,
1:02
just the summation of normal overlapping tissue.
1:04
We did a Spock impression view also.
1:06
And similarly we see normal overlapping fibro glandular tissue.
1:11
There's no area that I can pause on that,
1:13
where I see a true architectural distortion. So this is another example of,
1:18
of how, um, of how uh, there are some,
1:22
there are many findings that with, with a tomosynthesis we can, uh,
1:27
clarify as being normal tissue and not pathology without requiring a biopsy.
1:35
We did an ultrasound at this area. Um, we showed normal,
1:38
normal breast tissue and the patient was, um, returned to screening.
Report
Faculty
Emily B. Ambinder, MD
Assistant Professor - Breast Imaging Division
The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medicine
Tags
Ultrasound
Tomosynthesis
Neoplastic
Mammography
Breast
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