0:00

So our next patient is a 41-year-old woman who

0:04

was recalled from baseline screening mammography

0:07

for evaluation of a mass in the right breast.

0:11

Okay, so here are the screening views for

0:14

this patient, bilateral CC and MLO views,

0:18

and you can see that in the right breast,

0:21

kind of better seen on the MLO view, there's

0:23

this asymmetry or mass in the upper posterior

0:26

breast, and we see a little hint of this.

0:30

at the far posterior aspect

0:32

of the right breast laterally.

0:35

So that was the finding that the

0:37

patient was recalled for evaluation.

0:40

And when she returned, we went ahead and

0:43

did spot compression views in the CC and

0:49

MLO projection, and then a lateral view.

0:53

So here's her MLO spot view.

0:55

You can see that area persists.

0:59

This is the tomosynthesis images through

1:02

the spot compression view, and you can see

1:04

that mass with slightly irregular margins.

1:11

This is a spot CC view, which didn't

1:13

quite get the area, so we repeated that.

1:17

So here's a more exaggerated

1:19

CC spot compression view.

1:21

You can see this little mass.

1:23

with irregular margins.

1:26

And then this is the tomosynthesis

1:27

of through that spot compression view

1:31

showing the mass and its margins.

1:35

We also did a lateral view.

1:39

Here's the lateral view.

1:42

I think the mass is so far posterior

1:43

that it's barely showing up there.

1:46

So our next step was ultrasound.

1:50

So this was our ultrasound of this mass.

1:53

And you can see this hypoechoic mass

1:56

with kind of angular margins and

2:00

an echogenic halo or rim of tissue.

2:05

Here it is in the radial plane, kind of a

2:07

regular mass, about seven millimeters in size.

2:12

So that was the mass.

2:15

And then we also looked at her axilla.

2:18

And some of the lymph nodes were

2:20

just a little bit thick in their

2:21

cortex, just above three millimeters.

2:26

Here's another one.

2:28

So, one of the lymph nodes was recommended

2:31

for biopsy and as well as the mass.

2:34

So, the mass was an invasive ductal carcinoma

2:38

and the lymph node was actually benign.

41-year-old woman recalled for mass in right breast

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0:00

So our next patient is a 41-year-old woman who

0:04

was recalled from baseline screening mammography

0:07

for evaluation of a mass in the right breast.

0:11

Okay, so here are the screening views for

0:14

this patient, bilateral CC and MLO views,

0:18

and you can see that in the right breast,

0:21

kind of better seen on the MLO view, there's

0:23

this asymmetry or mass in the upper posterior

0:26

breast, and we see a little hint of this.

0:30

at the far posterior aspect

0:32

of the right breast laterally.

0:35

So that was the finding that the

0:37

patient was recalled for evaluation.

0:40

And when she returned, we went ahead and

0:43

did spot compression views in the CC and

0:49

MLO projection, and then a lateral view.

0:53

So here's her MLO spot view.

0:55

You can see that area persists.

0:59

This is the tomosynthesis images through

1:02

the spot compression view, and you can see

1:04

that mass with slightly irregular margins.

1:11

This is a spot CC view, which didn't

1:13

quite get the area, so we repeated that.

1:17

So here's a more exaggerated

1:19

CC spot compression view.

1:21

You can see this little mass.

1:23

with irregular margins.

1:26

And then this is the tomosynthesis

1:27

of through that spot compression view

1:31

showing the mass and its margins.

1:35

We also did a lateral view.

1:39

Here's the lateral view.

1:42

I think the mass is so far posterior

1:43

that it's barely showing up there.

1:46

So our next step was ultrasound.

1:50

So this was our ultrasound of this mass.

1:53

And you can see this hypoechoic mass

1:56

with kind of angular margins and

2:00

an echogenic halo or rim of tissue.

2:05

Here it is in the radial plane, kind of a

2:07

regular mass, about seven millimeters in size.

2:12

So that was the mass.

2:15

And then we also looked at her axilla.

2:18

And some of the lymph nodes were

2:20

just a little bit thick in their

2:21

cortex, just above three millimeters.

2:26

Here's another one.

2:28

So, one of the lymph nodes was recommended

2:31

for biopsy and as well as the mass.

2:34

So, the mass was an invasive ductal carcinoma

2:38

and the lymph node was actually benign.

Report

Faculty

Lisa Ann Mullen, MD

Assistant Professor; Breast Imaging Fellowship Director

Johns Hopkins Medicine

Lesson

Sample Lesson

Lesson

Palpable Lumps

Lesson

Breast Pain

Lesson

Nipple Discharge

Lesson

Skin Changes/Inflammation

Lesson

Recall from Screening

Lesson

Surveillance After Breast Cancer Treatment

Lesson

Follow Up Probably Benign Findings - BI-RADS 3

Lesson

Follow up Benign Biopsy

Lesson

Pregnant and Lactating Women

Lesson

Male Patients

41-year-old woman recalled for mass in right breast