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Case 5: Possible Architectural Distortion

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Another screening mammogram. This was a case that was,

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uh, recalled for a possible architectural distortion in the right breast.

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So sometimes we'll we'll see on a, a full view,

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an area that we question whether it's real, it's truly distorted or not.

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We wanna have them come back to take an a closer look. So this was, um,

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identified by the radiologist reading the screening mammogram.

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I'm gonna show now the two D images. I'm gonna scroll through and see if we can

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appreciate any distortion. I'm gonna circle,

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this is where the finding was on her, on the two D image, but

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when I'm scrolling through now on the three D imaging

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and I'm following individual lines, I can scroll in and out of that area.

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And there's not any single slice that I can pause on where I see a true

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architectural distortion. So I think what, you know,

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what we saw on that initial two D mammogram was, uh,

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just the summation of normal overlapping tissue.

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We did a Spock impression view also.

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And similarly we see normal overlapping fibro glandular tissue.

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There's no area that I can pause on that,

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where I see a true architectural distortion. So this is another example of,

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of how, um, of how uh, there are some,

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there are many findings that with, with a tomosynthesis we can, uh,

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clarify as being normal tissue and not pathology without requiring a biopsy.

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We did an ultrasound at this area. Um, we showed normal,

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normal breast tissue and the patient was, um, returned to screening.

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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