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Case 6: Extremely Dense Breast Tissue

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This is a, the, the next case, I just have a CC view. I have the, um,

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reconstructed two D mammogram on the left and then, uh,

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the tomosynthesis image on the, the right. And I think this is just a good,

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a good example showing this patient has this, a very dense breast tissue,

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particularly in the kinda central two outer breast. Um,

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but it's hard to see if there's anything in there. I mean,

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I think you can sort of make out that there might be an edge like where my mouse

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is here, but it's very hard to,

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to make out because the death breast tissue is so dense here.

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But let me show you, when I scroll through on her three D mammogram,

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it becomes much more clear that there is a mass in the retro alar breast,

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um, and potentially even multiple MA and in a even multiple masses.

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So I can see this edge here representing one mass.

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There's another one slightly more outer in the breast.

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Um, you know, when you look, go back and look at that two D mammogram.

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I think I can see where those masses are,

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but they're very hidden by the dense breast issue around it.

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And the three D mammogram,

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the tomosynthesis places really allow us to scroll through and,

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and tell for sure that there are some findings in this breast that need to be

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further evaluated. Um, so this patient was, um,

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had an ultrasound done and, and luckily that these represented simple cysts,

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she had several, um,

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simple cysts in that outer retro alar and outer part of the breast,

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which correlated with the mammographic masses.

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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

Tomosynthesis

Neoplastic

Mammography

Breast