0:00

In this case, we have a 50-year-old female

0:02

presenting for screening, uh, mammography.

0:06

Um, looking at overall, we looking

0:07

at image quality, as we always do.

0:09

We can see this, right?

0:10

MLO is a little bit, um, small

0:13

in comparison to the left.

0:14

Probably didn't get pulled in quite as much.

0:16

Our technologist repeated the right MLO to attempt,

0:19

try to get more pectoralis muscle in there.

0:21

Didn't get a whole lot more,

0:23

but at least we can verify.

0:24

The technologist did try to do some more.

0:26

Um, if we look at, uh, the MLO views only,

0:31

for the moment already, we can see, um, some

0:34

punctate, uh, calcifications look like they're

0:37

projecting over both, uh, axillary regions.

0:40

You might wonder if some of these have

0:42

a, like a little bit more of a linear

0:43

configuration, or maybe they're sort of a

0:44

morphous calcifications in morphology.

0:47

Certainly something that might be worrisome,

0:49

um, in any other part of the breast.

0:51

If we switch over to the DBT slices, however, we

0:54

can see that, um, already on the lateralmost,

0:57

uh, image slices, we can see some of that dense

0:59

material which projects, uh, within the skin.

1:02

We know it's within the skin because we're

1:03

in the first few slices of the DBT stack.

1:07

Um, and this is, uh, the very typical appearance for...

1:11

Deodorant artifact.

1:12

As I scroll through here, we'll see some of

1:13

this, uh, deodorant artifact here in the sort

1:15

of more posterior part of the breast, and we can

1:18

see sort of this wave of, uh, material already

1:20

all within the skin, um, as we move more, uh...

1:25

Same is true on the other side.

1:26

Again, we can ask our technologists

1:28

to, um, have the patient, um, try to

1:32

clean that area and repeat the images.

1:34

Um, but in general, I would say in these cases

1:37

where we already have the images acquired and

1:39

potentially the patient has already gone on, uh,

1:41

uh, and left the facility, um, this is a very small

1:45

amount of deodorant artifact and really doesn't

1:47

obscure or impede our ability to interpret the exam.

1:50

And so we can probably just move on.

1:51

Note that there is some deodorant artifact.

1:53

And be okay with it.

1:56

Um, in this case, there were no other findings

1:58

that we needed to worry about, but interestingly,

2:01

we do also see the deodorant artifact in

2:04

the far lateral aspect on the CC view.

2:06

Again, it has a very similar appearance,

2:08

looking like amorphous or round calcifications,

2:12

maybe some linear kind of distribution.

2:15

Um, but as we scroll through again,

2:18

as we get to the superior part of the breast,

2:20

we can start to see some of those, uh,

2:22

calcifications looking like they're within the skin.

2:24

Um, certainly within a few slices, uh, the end

2:28

of the imaging stack, and we can see those,

2:30

uh, associated, uh, continuous fat deposits,

2:33

which show we're very close to the skin.