Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Lesson
Pre-Course Activities
1 topic, 2 min.
Lesson
Introduction to Breast MRI
2 topics, 5 min.
Lesson
Indications and Protocol
5 topics, 33 min.
Lesson
MRI BI-RADS
3 topics, 14 min.
Lesson
Enhancing MRI Findings
8 topics, 28 min.
Lesson
Other Findings
4 topics, 20 min.
Lesson
Interpretation and Reporting
4 topics, 25 min.
Lesson
BI-RADS Case Review
22 topics, 1 hr. 17 min.
BI-RADS Assessment Categories – Overview
11 m.BI-RADS 1
5 m.BI-RADS 2 – Left Lumpectomy
4 m.BI-RADS 2 – Right Lumpectomy, Right Non-Enhancing Mass
2 m.BI-RADS 2 – Left Post Excisional Biopsy Change
3 m.BI-RADS 2 – Marked BPE, Stable
3 m.BI-RADS 2 – Bilateral Stable Findings
4 m.New focus of enhancement on a high risk patient (BI-RADS 4)
3 m.BI-RADS 3 – Changing Pattern of Background
2 m.BI-RADS 4 – Linear NME, Left Breast
4 m.BI-RADS 4 – Right Extensive DCIS, Left Dominant Focus
4 m.BI-RADS 4 – New Diagnosis Left Cancer, Focal NME left
3 m.BI-RADS 4 – New Diagnosis Right Breast Cancer, Nodes on Right
5 m.BI-RADS 4 – Left Axillary Node Metastasis, Evaluate for Breast Cancer
3 m.BI-RADS 5 – Suspicious Mass in Left Breast, Not Biopsied Yet
5 m.BI-RADS 5 – Left Breast Cancer, MRI Shows Right Cancer
5 m.BI-RADS 5 – New Diagnosis Right Cancer, Suspicious Masses in Right Breast
3 m.BI-RADS 5 – Right Inflammatory Cancer, Bilateral Nodes
4 m.BI-RADS 6 – Right Breast Cancer, No Other Findings
3 m.BI-RADS 6 – Left Breast Cancer, No Other Findings
2 m.BI-RADS 6 – Left Breast Cancer, Index Mass
4 m.BI-RADS 6 – Pre and Post Neoadjuvant Chemotherapy (NAC) for Left Breast Cancer
5 m.0:01
So this case is discussing a focus, and it's
0:05
a 71-year-old woman for high-risk screening.
0:08
She has a history of right breast cancer,
0:10
and bilateral excisional biopsies, and
0:12
there's a pretty strong family history.
0:15
So, this is the case that I just described,
0:17
and we're seeing STIR images on the left
0:21
and the contrast-enhanced images on the right.
0:26
And just going through this, this
0:30
patient has some foci that are enhancing.
0:35
There's a lumpectomy site
0:37
here in the right breast.
0:41
Then when we get down to this
0:43
lower inner right breast, there's
0:45
this focus that really stands out.
0:49
And a little hard to tell whether
0:52
it's T2 bright, maybe a little bit.
0:56
There's a lot of T2 signal in this
0:57
patient's breast, so it can be hard to tell.
1:00
But this was definitely unique from
1:02
background, and it was new from previous exams.
1:05
So, because it was new, it went ahead to MRI
1:09
guided biopsy, and this was a benign biopsy.
New Focus of Enhancement – Benign
HIDEInteractive Transcript
0:01
So this case is discussing a focus, and it's
0:05
a 71-year-old woman for high-risk screening.
0:08
She has a history of right breast cancer,
0:10
and bilateral excisional biopsies, and
0:12
there's a pretty strong family history.
0:15
So, this is the case that I just described,
0:17
and we're seeing STIR images on the left
0:21
and the contrast-enhanced images on the right.
0:26
And just going through this, this
0:30
patient has some foci that are enhancing.
0:35
There's a lumpectomy site
0:37
here in the right breast.
0:41
Then when we get down to this
0:43
lower inner right breast, there's
0:45
this focus that really stands out.
0:49
And a little hard to tell whether
0:52
it's T2 bright, maybe a little bit.
0:56
There's a lot of T2 signal in this
0:57
patient's breast, so it can be hard to tell.
1:00
But this was definitely unique from
1:02
background, and it was new from previous exams.
1:05
So, because it was new, it went ahead to MRI
1:09
guided biopsy, and this was a benign biopsy.
Report
Description
Faculty
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
Tags
Women's Health
MRI
Breast
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