0:00

Our next patient is a 59-year-old woman

0:03

who was recalled from screening mammography

0:06

for evaluation of a left breast asymmetry.

0:09

So here's the screening

0:10

mammogram for this patient.

0:13

And the area of interest that was indicated by

0:17

the colleague who read the screening mammogram

0:19

was this area down here, left medial breast on the

0:23

CC, and it was left lower breast on the MLO (mediolateral oblique) view.

0:27

And if we look at that a little bit more

0:29

closely, I'm just going to pull up her

0:34

tomosynthesis images and see this area here

0:43

and then on the MLO view.

0:50

This MLO, it looks almost like there's

0:52

a border, like this may actually be a

0:54

mass, but it was recalled as an asymmetry.

0:58

So then when we brought the patient

1:01

back, since it was called an asymmetry,

1:05

we did the spot compression views first.

1:08

So here's the spot compression in the CC view.

1:11

And already this is starting to shape up a little

1:13

bit more like a mass, like it has borders to it.

1:19

And this is the spot

1:20

compression tomosynthesis image.

1:23

And you can really see now that those borders

1:26

are starting to appear a little bit more.

1:29

I think this is one of the advantages of spot

1:31

compression, even in the era of tomosynthesis.

1:35

So she has a few different

1:37

masses, but this is the main one.

1:40

And then we did the MLO view as well.

1:44

This was her spot compression view.

1:48

And then this was the tomosynthesis where you can

1:51

kind of see that oval, partially obscured mass.

1:56

showing up there on the spot compression.

1:59

So we went ahead and did ultrasound as our

2:01

next step, and this was her ultrasound.

2:05

Basically, showing in the left breast

2:07

at the 9:30 position, so medial left

2:09

breast, 3 centimeters from the nipple,

2:11

there's a fairly large simple cyst.

2:17

And that was the area that corresponded.

2:19

There are a few other smaller cysts,

2:21

but this was the main finding.

2:24

So this was an example of a developing asymmetry

2:27

that turned out to be a benign simple cyst.

2:30

So we considered this to be BI-RADS 2,

2:32

benign finding, and the patient would

2:34

return to annual screening mammography.

2:37

No special follow-up.

59-year-old woman recalled for focal asymmetry in left breast

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0:00

Our next patient is a 59-year-old woman

0:03

who was recalled from screening mammography

0:06

for evaluation of a left breast asymmetry.

0:09

So here's the screening

0:10

mammogram for this patient.

0:13

And the area of interest that was indicated by

0:17

the colleague who read the screening mammogram

0:19

was this area down here, left medial breast on the

0:23

CC, and it was left lower breast on the MLO (mediolateral oblique) view.

0:27

And if we look at that a little bit more

0:29

closely, I'm just going to pull up her

0:34

tomosynthesis images and see this area here

0:43

and then on the MLO view.

0:50

This MLO, it looks almost like there's

0:52

a border, like this may actually be a

0:54

mass, but it was recalled as an asymmetry.

0:58

So then when we brought the patient

1:01

back, since it was called an asymmetry,

1:05

we did the spot compression views first.

1:08

So here's the spot compression in the CC view.

1:11

And already this is starting to shape up a little

1:13

bit more like a mass, like it has borders to it.

1:19

And this is the spot

1:20

compression tomosynthesis image.

1:23

And you can really see now that those borders

1:26

are starting to appear a little bit more.

1:29

I think this is one of the advantages of spot

1:31

compression, even in the era of tomosynthesis.

1:35

So she has a few different

1:37

masses, but this is the main one.

1:40

And then we did the MLO view as well.

1:44

This was her spot compression view.

1:48

And then this was the tomosynthesis where you can

1:51

kind of see that oval, partially obscured mass.

1:56

showing up there on the spot compression.

1:59

So we went ahead and did ultrasound as our

2:01

next step, and this was her ultrasound.

2:05

Basically, showing in the left breast

2:07

at the 9:30 position, so medial left

2:09

breast, 3 centimeters from the nipple,

2:11

there's a fairly large simple cyst.

2:17

And that was the area that corresponded.

2:19

There are a few other smaller cysts,

2:21

but this was the main finding.

2:24

So this was an example of a developing asymmetry

2:27

that turned out to be a benign simple cyst.

2:30

So we considered this to be BI-RADS 2,

2:32

benign finding, and the patient would

2:34

return to annual screening mammography.

2:37

No special follow-up.

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

59-year-old woman recalled for focal asymmetry in left breast