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Screening & Evaluation of Findings in Breast Imaging - Case 11

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Let's do our last case another screening. It

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says keep on the theme.

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And now I'll just go to the magazines because we love

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magnes here.

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Okay, and I let's do the question and I'll scroll

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back once the question shows up to that last image. So you guys can look

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at it.

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And let me move this off to the side a bit.

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If we can get a good view with it there.

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Excellent, and everybody said 75% said

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loosen Center virus to annual screening

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25% that course energy is calcification virus

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2. So let's talk

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about it.

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And let's see if I forget now. No I did do so. There's been

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times which I had a moment of.

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Senior home, or I can remember about a second question or not.

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So these are team calcifications and we just talked about

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it, right so

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These are what they look like. These are the rounds. He said

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things that are around.

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And don't look irregular or benign. We

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see the losing Center how they kind of look like Cheerios. I

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don't know for those of you that have children. I think I've seen my share

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of Cheerios on my daughter as a toddler and they kind of look like that.

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And these are in the skin and they're benign, of course

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heterogeneous. I would expect them to be more regular. Okay, let me

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go to my other thing and course energy would never

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be a virus too. Okay, so that's what that answer was out

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right away because of course heterogeneous should never be

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a virus too. We said it was a concerning descriptor in the last case

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the it would be a pirates four. Right and

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we recommend biopsy. So yeah Market calcifications would

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be a virus for and we recommending we recommend biopsy but

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these don't look like those punctuation calcifications from

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the one before a mortgage calcifications.

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Um, you know, usually also the Baseline you biopsy amorphous

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calcifications, the only things we don't biops have a

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baseline mammogram and we do a byrad three four would be punctate groups

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calcifications. So this really wouldn't be right and these aren't

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a market specifications amorphous are like very fine and hard

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to see in their they just aren't perfectly pancakes. So

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this wouldn't need that. So this is loosen Center

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calcifications annual screening mammography can calcifications skin

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cancer specifications usually occur, especially in

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the interrogynous and Rogers areas like in the cleavage and

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underneath because of debris and

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stated debris that calcifies and

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pores.

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And you can also see them a lot of times in incision,

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especially on reduction scars.

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You can see them around the nipple and at six o'clock from reduction

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scars due to institated debris and other things

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and reduction scarring. And so those

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are common places to see them if you ever want

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to prove their skin cellsifications despite magnification you would

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do as I spoke of before tangential views.

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and that's where you get them in one view put a

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BB and then you put the beam tangential to the baby

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and it will show

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If they are in the skin that they're within the

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skin on the tangential views, so that's how you

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could prove it if you weren't 100% sure of the morphology.

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And that is it for my cases.

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Thank you everybody.

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Faculty

Carolynn M DeBenedectis, MD

Associate Professor of Radiology

University of Massachusetts Medical School

Tags

Women's Health

Oncologic Imaging

Mammography

Breast