Interactive Transcript
0:01
This is another case of a baseline screening mammogram. This is in the
0:05
patient's left breast. There were calcifications that were noted in the
0:11
upper outer quadrant. This was given a BI RADS 0 so we could
0:17
do additional views to determine the morphology of this finding.
0:23
So when we have calcifications, we get these special views called magnification
0:28
views. We do a true lateral and a cranial caudal
0:34
magnification view to allow us to see the morphology of the finding. Here
0:40
we see those calcifications. They may be a little bit subtle on the
0:46
monitor. They are little dots, little white dots that we're seeing here.
0:52
And each of the dots looks similar to the other ones.
0:58
I would describe this morphology as being punctate or round calcifications.
1:03
It's important to also note how large of an area the calcifications span.
1:10
So this spans a little bit over a centimeter.
1:18
When I'm looking at the calcifications, I want to, like I said,
1:22
first note what the individual calcifications look like compared to the
1:26
other ones. Do they all look the same or do they look different
1:28
from each other? Like I said, I think these all look like
1:32
little dots. If they look different from each other, then I would be
1:35
thinking about pleomorphic calcifications or heterogeneous calcifications,
1:39
which are more suspicious descriptors. When they look like small dots, I
1:43
can call them punctate or round calcifications. I also want to look at
1:48
how the calcifications look on the two different views. So on the left is
1:52
our lateral view and on the right is our CC view. And I
1:57
want to see if they look similar on the two views or if
2:01
they look like they're layering on the lateral view. Layering is a common
2:06
benign finding that we'll see. And if the calcifications look like they're
2:10
layering, we can give this a BI RADS 2. These really look similar
2:14
on the two views. And they are spanning about a centimeter, a little over
2:21
a centimeter, so the distribution would be grouped.
2:25
These are grouped round or punctate calcifications that we saw on a baseline
2:29
screening mammogram. This is the second good indication for a BI RADS 3.
2:35
So this was given a BI RADS 3. We had the patient follow
2:39
up recommended for six months, 12 months, and two years.
2:43
This is the two year follow up CC view. And we see those
2:49
calcifications again. I can zoom in so they're kind of looking at
2:54
the same size, but we saw no significant changes in our two years
2:58
of follow up. So after the two years of follow up,
3:01
we were able to give this a BI RADS 2 and have the
3:04
patient then return to screening.
© 2024 MRI Online. All Rights Reserved.