Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Lesson
Sample Lesson
4 topics, 14 min.
Lesson
Palpable Lumps
5 topics, 16 min.
53-year-old woman with palpable lump in right breast
3 m.25-year-old woman with bilateral breast implants and palpable lump in right breast
2 m.78-year-old woman with palpable lump in right upper outer breast
5 m.54-year-old woman with palpable lump in left breast
5 m.38-year-old woman with palpable lump in right upper breast
5 m.Lesson
Breast Pain
3 topics, 7 min.
Lesson
Nipple Discharge
3 topics, 8 min.
Lesson
Skin Changes/Inflammation
10 topics, 23 min.
Skin Changes and Mastitis Overview
2 m.39-year-old woman with fever and cellulitis of the right breast, recently stopped breastfeeding
3 m.18-year-old woman with painful palpable lump in left breast
2 m.Granulomatous Mastitis Overview
2 m.29-year-old with palpable mass in left breast
2 m.31-year-old woman with palpable lump and skin redness in left breast
5 m.Inflammatory Breast Cancer Overview
2 m.55-year-old woman with skin thickening and redness in right breast
4 m.68-year-old woman with skin thickening and palpable lump in left breast
4 m.43-year-old woman with diffuse left breast pain and palpable lump. Family history of breast cancer
4 m.Lesson
Recall from Screening
29 topics, 1 hr. 7 min.
Asymmetry Overview
6 m.47-year-old woman recalled for asymmetry in left breast
4 m.59-year-old woman recalled for focal asymmetry in left breast
3 m.69-year-old woman recalled for developing asymmetry in right breast
4 m.46-year-old woman recalled for developing asymmetry in right breast
4 m.64-year-old woman recalled for calcifications and developing asymmetry
4 m.51-year-old woman recalled for developing asymmetry in right breast
3 m.79-year-old woman recalled for developing asymmetry in anterior right breast
4 m.Breast Mass Overview
2 m.43-year-old woman recalled for mass in left upper outer breast
3 m.40-year-old woman recalled for 12 mm mass in right breast
2 m.62-year-old woman recalled for mass in right upper outer breast
2 m.80-year-old woman with remote history of right mastectomy, recalled for mass in left breast
3 m.41-year-old woman recalled for mass in right breast
3 m.Architectural Distortion Overview
2 m.69-year-old woman recalled for architectural distortion in left breast
4 m.74-year-old woman recalled for architectural distortion in left breast
3 m.54-year-old woman recalled for distortion in left anterior breast
3 m.62-year-old woman recalled for distortion in left breast
3 m.Calcification Overview
1 m.54-year-old woman recalled for calcifications in left upper outer breast
2 m.57-year-old woman recalled for calcifications in left breast
2 m.51-year-old woman recalled for calcifications in right upper outer breast
2 m.60-year-old woman recalled for calcification in right breast
2 m.53-year-old woman recalled for calcifications in left breast
2 m.Large Axillary Lymph Node Overview
2 m.53-year-old woman recalled for large left axillary lymph node
3 m.80-year-old woman with history of breast cancer treatment recalled for large lymph nodes in left axilla
2 m.49-year-old woman recalled for asymmetry in left breast and large left axillary lymph node
3 m.Lesson
Surveillance After Breast Cancer Treatment
5 topics, 16 min.
Annual Surveillance after Breast Cancer Treatment Overview
4 m.57-year-old woman with history of right breast cancer 10 years ago. Annual follow up
3 m.62-year-old woman with history of left breast cancer 4 years ago. Annual follow up
4 m.61-year-old woman with history of left breast DCIS 10 years ago. Annual follow up
3 m.65-year-old woman with history of left breast cancer 12 years ago. Annual follow up
4 m.Lesson
Follow Up Probably Benign Findings - BI-RADS 3
5 topics, 16 min.
Follow Up Probably Benign Findings- BI-RADS 3 - Overview
8 m.60-year-old woman for 6 month follow up of probably benign calcifications in right breast
3 m.52-year-old woman for 12 month follow up of probably benign 5 mm oval mass in right breast
3 m.16-year-old girl for 6 month follow up of probably benign mass in right breast
3 m.56-year-old woman for follow up of probably benign clustered microcysts in right breast
4 m.Lesson
Follow up Benign Biopsy
3 topics, 5 min.
Lesson
Pregnant and Lactating Women
8 topics, 20 min.
Pregnant and Lactating Women Overview
6 m.26-year-old woman, 20 weeks pregnant, with left breast pain
2 m.32-year-old woman, 21 weeks pregnant, with palpable lump left breast
4 m.33-year-old lactating woman with palpable lump left breast
3 m.32-year-old woman, 1 year postpartum, breastfeeding, with palpable lump left breast
3 m.34-year-old woman, currently lactating, with palpable lump left breast
4 m.28-year-old woman, 1 year postpartum, with palpable lumps right breast
2 m.25-year-old woman, 1 month postpartum, breastfeeding, with palpable lump right breast
2 m.Lesson
Male Patients
5 topics, 12 min.
Symptomatic Male Patient Overview
4 m.65-year-old man with pain and palpable lump behind the left nipple for a few months
2 m.59-year-old man with enlarging and painful left breast over 6 months
3 m.77-year-old man with painful palpable lump in right subareolar breast
3 m.75-year-old man, BRCA2 carrier, with palpable lump in right breast
3 m.0:00
So our first case is a 60-year-old woman with a history of ultrasound-guided biopsy
0:05
of a right breast mass one year ago and she's coming in for follow up.
0:10
So this patient had a biopsy one year ago
0:14
and we're going to be doing some follow up.
0:18
And the area that was biopsied was marked with a ribbon biopsy clip.
0:24
So the ribbon is right there
0:28
and it's here on the other view, and she is heterogeneously dense breast tissue.
0:33
Of course, we're going to go through each of these views, comparing to prior
0:39
and doing tomosynthesis imaging, scrolling through those as well,
0:43
making sure that there's nothing new or different that we have to evaluate.
0:48
And then if there is not, we'll go ahead and look with ultrasound
0:52
at the area that had been biopsied previously.
0:54
So this was her biopsied mass,
0:57
this oval mass with some internal echogenic flex in it,
1:05
and her biopsy clip is actually sitting right at the edge of it.
1:12
And this was unchanged compared to the prior study.
1:18
So, let's just show that.
1:21
So this was the previous exam in that same location.
1:26
So this was prior to her biopsy and the size is about the same.
1:32
So once we've done the one year of follow-up,
1:35
we don't really need to specifically follow this anymore.
1:38
We can give her a designation of BI-RADS 2 and then return her to screening.
60-year-old woman with history of ultrasound guided biopsy of right breast mass 1 year ago, for follow up
HIDEInteractive Transcript
0:00
So our first case is a 60-year-old woman with a history of ultrasound-guided biopsy
0:05
of a right breast mass one year ago and she's coming in for follow up.
0:10
So this patient had a biopsy one year ago
0:14
and we're going to be doing some follow up.
0:18
And the area that was biopsied was marked with a ribbon biopsy clip.
0:24
So the ribbon is right there
0:28
and it's here on the other view, and she is heterogeneously dense breast tissue.
0:33
Of course, we're going to go through each of these views, comparing to prior
0:39
and doing tomosynthesis imaging, scrolling through those as well,
0:43
making sure that there's nothing new or different that we have to evaluate.
0:48
And then if there is not, we'll go ahead and look with ultrasound
0:52
at the area that had been biopsied previously.
0:54
So this was her biopsied mass,
0:57
this oval mass with some internal echogenic flex in it,
1:05
and her biopsy clip is actually sitting right at the edge of it.
1:12
And this was unchanged compared to the prior study.
1:18
So, let's just show that.
1:21
So this was the previous exam in that same location.
1:26
So this was prior to her biopsy and the size is about the same.
1:32
So once we've done the one year of follow-up,
1:35
we don't really need to specifically follow this anymore.
1:38
We can give her a designation of BI-RADS 2 and then return her to screening.
Report
Faculty
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
Tags
Women's Health
Ultrasound
Non-infectious Inflammatory
Mammography
Breast
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