62-year-old woman recalled for distortion in left breast
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Our next patient is a 62-year-old woman
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recalled from screening for evaluation
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of distortion in the left breast.
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So these are the screening views for this patient.
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So she has heterogeneously dense breasts
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tissue, which makes things more difficult.
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But she was recalled for suspected distortion
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right here in the left upper outer breast.
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And we'll just take a closer look at that.
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So here's the CC view on tomosynthesis,
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and it was right in here where the tissue looked
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a little bit pulled in or distorted, and then
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on the MLO view, it was right in this area.
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So when she came back, we did some extra views.
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This was the MLO spot compression view, and the
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area of interest is kind of right up in here.
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This is the tomosynthesis
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kind of right in here.
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And then we did a CC spot with tomosynthesis.
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I might have to magnify this a little bit
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to show you, but there's a little bit of
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distortion right in here where the lines kind of
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converge centrally, but this is pretty subtle.
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So we looked with ultrasound as well,
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and this is what we saw with ultrasound.
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So this is in the left breast.
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1 o'clock position, 6 centimeters from the nipple.
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There's this irregular hypoechoic
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mass, about 7 millimeters in size.
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Some blood flow around it.
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But that's what correlates with that distortion
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that we were seeing on the mammogram.
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And we looked at the axilla.
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Lymph nodes looked okay.
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So we recommended biopsy of this
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mass using ultrasound guidance.
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And this was an invasive ductal carcinoma.
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
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