0:01

This is a companion piece to the last case.

0:03

Another baseline screening mammogram: woman, age 40,

0:08

and similar to the last case, we saw an oval mass.

0:15

This is in the upper outer left breast.

0:18

So, also like the last case,

0:19

this was given a BI-RADS 0.

0:21

We had the patient come back for additional

0:23

images, specifically spot compression images.

0:26

And again, we see that mass

0:28

in the outer breast on the CC

0:31

view, and

0:40

we see it here on the tomosynthesis.

0:44

Like the last case, this would be

0:46

criteria for a BI-RADS 3 on mammogram.

0:48

We see an oval circumscribed

0:50

mass on a baseline mammogram.

0:52

We're going to do a targeted ultrasound

0:55

examination to see if we can potentially

0:58

give this a BI-RADS 2 instead.

1:00

And in this case, we did a targeted ultrasound.

1:03

Again, this was the outer

1:05

breast, slightly upper breast.

1:07

So this is the two-thirty position, four centimeters

1:09

from the nipple that matches the location.

1:12

And we see this oval circumscribed mass.

1:15

But this is a very typical appearance of a

1:18

benign finding of an intramammary lymph node.

1:21

See, most of the finding has this

1:23

echogenicity that matches the surrounding fat.

1:27

We see vascularity within that fatty

1:29

hilum, a very thin hypoechoic cortex.

1:33

This is a common finding in intramammary lymph nodes.

1:35

We know this is a benign finding,

1:38

and therefore, we can give this entire case

1:40

a BI-RADS 2 rather than a BI-RADS 3.