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29-year-old woman with left breast pain

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So our first case in this section is a

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29-year-old woman with left breast pain.

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So here's our ultrasound.

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So this is a 29-year-old woman.

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She's just under age 30.

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So we'll start with ultrasound for this patient.

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And we ultrasound at the area that

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the patient indicated was painful.

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And in this case, it looks like we

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ultrasound at the entire left breast.

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Sometimes the pain is a little bit more diffuse.

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But we have normal images in the left breast

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at the 12 o'clock, 3 o'clock, 6 o'clock,

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and 9 o'clock positions, and then behind the nipple.

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And, um, this all looks like normal tissue, normal

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subcutaneous fat, and normal heterogeneous tissue.

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But really no explanation found for the

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patient's pain, and this would be very typical.

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Really no need to do a

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mammogram in this situation.

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We coded this as a BI-RADS 1 and referred the

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patient back to her provider for additional

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care, and then she really doesn't need a

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mammogram until age 40 if she's at average risk.

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So refer back to the provider and a

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recommendation of screening mammography at age 40.

Report

Faculty

Lisa Ann Mullen, MD

Assistant Professor; Breast Imaging Fellowship Director

Johns Hopkins Medicine

Tags

Women's Health

Ultrasound

Idiopathic

Breast

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