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13 Cards in this Set

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fine linear calcs, in one area
NOT plasma cell mastitis unless more diffuse
incidence of breast ca in women
1/8 over lifetime
breast densities
Fatty


scattered fibroglandular densities (thats what it means)


Heterogeneously dense (50-75 % glandular)


Dense
findings that must be looked for in each case
Density -- can obscure mass


Masses

Calcifications

Architectural distortion
What is the percent cutoff for Birads 3?
98% chance it is benign
Lactating patient presents with breast lump
When there is a palpable area of clinical concern (PACC), you will perform an ultrasound and evaluate the lump. If no mass is found, you will perform a single MLO view to look for microcalcifications.
Lactating patient for screening mammo
NO. No screening during lactation because the breasts are too damn dense.
Bilateral diffuse breast pain
No US is performed. Mammo is done to evaluate density, skin thickening. Only would do US if there was a PACC.
Missed on MLO view
medial breast
missed on CC view
far lateral breast. That's why we sometimes need exaggerated CC views.
Irregular lesion, posterior medial breast on CC view
sternalis muscle. It can have irregular surface, and is commonly flame shaped. It will not be visible on the MLO view or ML view because of its far posterior location.
Posterior mass overlying the pectoralis muscle
spot compression view.
Numerous calcifications in tail of Spence on ML of view
make sure this does not represent deodorant. Question patient, have patient clean area with towel, and repeat study.