0:00

Our first case in this section is a

0:03

43-year-old woman who was recalled from

0:05

screening mammography for evaluation of

0:08

a mass in the left upper outer breast.

0:11

So here's our screening mammogram on

0:13

this patient, and she was recalled for

0:16

a mass in the left upper outer breast.

0:20

So you can kind of see it on the 2D images

0:23

or reconstructed 2D images, but definitely

0:27

much better on the tomosynthesis images.

0:29

So we're going to go to the tomosynthesis.

0:32

Let's scroll through, and we really

0:34

see this nice circumscribed or mostly

0:37

circumscribed mass actually obscured by

0:40

some tissue over here, but there is a

0:43

definite mass there in the outer breast.

0:48

And then looking at this on the MLO tomosynthesis

0:52

images, here it is in the upper breast.

0:56

So we have a pretty good idea of where it is.

0:59

And then we also know from these images

1:04

that it's fairly sizable, so it's about

1:09

2.2 centimeters.

1:11

So this qualifies for over 10 millimeters in size.

1:16

So we would go right to ultrasound

1:18

when we're evaluating this lesion.

1:20

So when the patient came back

1:22

in, we went to ultrasound.

1:25

And this is what we found.

1:27

So, in the left breast at the 1 o'clock

1:29

position, 7 centimeters from the nipple,

1:31

so correlating well with the mammographic

1:33

finding, we see this oval anechoic mass,

1:37

so that's consistent with a simple cyst.

1:40

And it's about 2.

1:41

1 centimeters, which is about the right size.

1:44

So, simple cyst, no internal

1:47

blood flow, everything looks good.

1:50

So, that's a good match to the size and

1:53

position of the mammographic finding.

1:56

So, we don't really need to do any

1:57

extra mammographic views for this.

1:59

So, this is a simple cyst.

2:01

We consider this to be a BI-RADS

2:03

Category 2, and the patient can return

2:06

to routine screening in one year.

43-year-old woman recalled for mass in left upper outer breast

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0:00

Our first case in this section is a

0:03

43-year-old woman who was recalled from

0:05

screening mammography for evaluation of

0:08

a mass in the left upper outer breast.

0:11

So here's our screening mammogram on

0:13

this patient, and she was recalled for

0:16

a mass in the left upper outer breast.

0:20

So you can kind of see it on the 2D images

0:23

or reconstructed 2D images, but definitely

0:27

much better on the tomosynthesis images.

0:29

So we're going to go to the tomosynthesis.

0:32

Let's scroll through, and we really

0:34

see this nice circumscribed or mostly

0:37

circumscribed mass actually obscured by

0:40

some tissue over here, but there is a

0:43

definite mass there in the outer breast.

0:48

And then looking at this on the MLO tomosynthesis

0:52

images, here it is in the upper breast.

0:56

So we have a pretty good idea of where it is.

0:59

And then we also know from these images

1:04

that it's fairly sizable, so it's about

1:09

2.2 centimeters.

1:11

So this qualifies for over 10 millimeters in size.

1:16

So we would go right to ultrasound

1:18

when we're evaluating this lesion.

1:20

So when the patient came back

1:22

in, we went to ultrasound.

1:25

And this is what we found.

1:27

So, in the left breast at the 1 o'clock

1:29

position, 7 centimeters from the nipple,

1:31

so correlating well with the mammographic

1:33

finding, we see this oval anechoic mass,

1:37

so that's consistent with a simple cyst.

1:40

And it's about 2.

1:41

1 centimeters, which is about the right size.

1:44

So, simple cyst, no internal

1:47

blood flow, everything looks good.

1:50

So, that's a good match to the size and

1:53

position of the mammographic finding.

1:56

So, we don't really need to do any

1:57

extra mammographic views for this.

1:59

So, this is a simple cyst.

2:01

We consider this to be a BI-RADS

2:03

Category 2, and the patient can return

2:06

to routine screening in one year.

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

43-year-old woman recalled for mass in left upper outer breast