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 next patient is a 33-year-old lactating
0:03
woman with a palpable lump in the left breast.
0:07
So for this patient who is 33 but
0:10
lactating, we started with ultrasound
0:13
in the area of palpable concern.
0:15
So that was in the left breast,
0:17
just a little bit lateral to the nipple.
0:19
And we saw this hypoechoic irregular
0:22
mass, sort of taller than wide.
0:27
Measuring about two centimeters
0:28
in greatest dimension.
0:30
Here it is in antiradial and radial plane,
0:37
little blood flow around the edges, not internally.
0:40
And we were pretty worried about this.
0:43
So we knew we were going to recommend a
0:45
biopsy for it, but just to complete her
0:47
workup, we recommended a bilateral mammogram.
0:51
So that was done on the same day.
0:54
So, we did CC (craniocaudal) and MLO (mediolateral oblique) views of both
0:57
breasts, and we can see that in the left
1:00
breast, slightly lateral to the nipple and
1:02
posterior depth, there's this asymmetry,
1:05
and we also see it on the MLO view.
1:10
We're not really seeing anything
1:11
obvious in the other breast, but
1:12
just to have a closer look at this.
1:16
We looked with tomosynthesis, so this is our
1:18
mass that we've just looked at with ultrasound.
1:23
You know, nothing else in this breast.
1:27
We looked on our MLO.
1:30
This is our MLO tomosynthesis view.
1:34
We actually saw that there was one other
1:38
mass that we were interested in,
1:41
and we went back to ultrasound and found a
1:43
cyst in that location, so that was okay.
1:47
We looked at the other side, CC view,
1:51
38 00:01:55,015 --> 00:01:56,145 nothing there.
1:56
And then MLO view looked good as well.
2:04
Okay.
2:04
So, you know, we've done an
2:06
ultrasound and a mammogram.
2:08
We are finding one mass that we're
2:10
concerned about, and that was
2:12
recommended for ultrasound-guided biopsy.
2:16
And then the biopsy result was invasive
2:19
ductal carcinoma, poorly differentiated.
33-year-old lactating woman with palpable lump left breast
HIDEInteractive Transcript
0:00
So our next patient is a 33-year-old lactating
0:03
woman with a palpable lump in the left breast.
0:07
So for this patient who is 33 but
0:10
lactating, we started with ultrasound
0:13
in the area of palpable concern.
0:15
So that was in the left breast,
0:17
just a little bit lateral to the nipple.
0:19
And we saw this hypoechoic irregular
0:22
mass, sort of taller than wide.
0:27
Measuring about two centimeters
0:28
in greatest dimension.
0:30
Here it is in antiradial and radial plane,
0:37
little blood flow around the edges, not internally.
0:40
And we were pretty worried about this.
0:43
So we knew we were going to recommend a
0:45
biopsy for it, but just to complete her
0:47
workup, we recommended a bilateral mammogram.
0:51
So that was done on the same day.
0:54
So, we did CC (craniocaudal) and MLO (mediolateral oblique) views of both
0:57
breasts, and we can see that in the left
1:00
breast, slightly lateral to the nipple and
1:02
posterior depth, there's this asymmetry,
1:05
and we also see it on the MLO view.
1:10
We're not really seeing anything
1:11
obvious in the other breast, but
1:12
just to have a closer look at this.
1:16
We looked with tomosynthesis, so this is our
1:18
mass that we've just looked at with ultrasound.
1:23
You know, nothing else in this breast.
1:27
We looked on our MLO.
1:30
This is our MLO tomosynthesis view.
1:34
We actually saw that there was one other
1:38
mass that we were interested in,
1:41
and we went back to ultrasound and found a
1:43
cyst in that location, so that was okay.
1:47
We looked at the other side, CC view,
1:51
38 00:01:55,015 --> 00:01:56,145 nothing there.
1:56
And then MLO view looked good as well.
2:04
Okay.
2:04
So, you know, we've done an
2:06
ultrasound and a mammogram.
2:08
We are finding one mass that we're
2:10
concerned about, and that was
2:12
recommended for ultrasound-guided biopsy.
2:16
And then the biopsy result was invasive
2:19
ductal carcinoma, poorly differentiated.
Report
Faculty
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
Tags
Women's Health
Ultrasound
Tomosynthesis
Neoplastic
Mammography
Breast
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