Training Collections
Course Contents
4 topics, 14 min.
5 topics, 16 min.
53-year-old woman with palpable lump in right breast
3Â m.25-year-old woman with bilateral breast implants and palpable lump in right breast
2Â m.78-year-old woman with palpable lump in right upper outer breast
5Â m.54-year-old woman with palpable lump in left breast
5Â m.38-year-old woman with palpable lump in right upper breast
5Â m.3 topics, 7 min.
3 topics, 8 min.
10 topics, 23 min.
Skin Changes and Mastitis Overview
2Â m.39-year-old woman with fever and cellulitis of the right breast, recently stopped breastfeeding
3Â m.18-year-old woman with painful palpable lump in left breast
2Â m.Granulomatous Mastitis Overview
2Â m.29-year-old with palpable mass in left breast
2Â m.31-year-old woman with palpable lump and skin redness in left breast
5Â m.Inflammatory Breast Cancer Overview
2Â m.55-year-old woman with skin thickening and redness in right breast
4Â m.68-year-old woman with skin thickening and palpable lump in left breast
4Â m.43-year-old woman with diffuse left breast pain and palpable lump. Family history of breast cancer
4Â m.29 topics, 1 hr. 7 min.
Asymmetry Overview
6Â m.47-year-old woman recalled for asymmetry in left breast
4Â m.59-year-old woman recalled for focal asymmetry in left breast
3Â m.69-year-old woman recalled for developing asymmetry in right breast
4Â m.46-year-old woman recalled for developing asymmetry in right breast
4Â m.64-year-old woman recalled for calcifications and developing asymmetry
4Â m.51-year-old woman recalled for developing asymmetry in right breast
3Â m.79-year-old woman recalled for developing asymmetry in anterior right breast
4Â m.Breast Mass Overview
2Â m.43-year-old woman recalled for mass in left upper outer breast
3Â m.40-year-old woman recalled for 12 mm mass in right breast
2Â m.62-year-old woman recalled for mass in right upper outer breast
2Â m.80-year-old woman with remote history of right mastectomy, recalled for mass in left breast
3Â m.41-year-old woman recalled for mass in right breast
3Â m.Architectural Distortion Overview
2Â m.69-year-old woman recalled for architectural distortion in left breast
4Â m.74-year-old woman recalled for architectural distortion in left breast
3Â m.54-year-old woman recalled for distortion in left anterior breast
3Â m.62-year-old woman recalled for distortion in left breast
3Â m.Calcification Overview
1Â m.54-year-old woman recalled for calcifications in left upper outer breast
2Â m.57-year-old woman recalled for calcifications in left breast
2Â m.51-year-old woman recalled for calcifications in right upper outer breast
2Â m.60-year-old woman recalled for calcification in right breast
2Â m.53-year-old woman recalled for calcifications in left breast
2Â m.Large Axillary Lymph Node Overview
2Â m.53-year-old woman recalled for large left axillary lymph node
3Â m.80-year-old woman with history of breast cancer treatment recalled for large lymph nodes in left axilla
2Â m.49-year-old woman recalled for asymmetry in left breast and large left axillary lymph node
3Â m.5 topics, 16 min.
Annual Surveillance after Breast Cancer Treatment Overview
4Â m.57-year-old woman with history of right breast cancer 10 years ago. Annual follow up
3Â m.62-year-old woman with history of left breast cancer 4 years ago. Annual follow up
4Â m.61-year-old woman with history of left breast DCIS 10 years ago. Annual follow up
3Â m.65-year-old woman with history of left breast cancer 12 years ago. Annual follow up
4Â m.5 topics, 16 min.
Follow Up Probably Benign Findings- BI-RADS 3 - Overview
8Â m.60-year-old woman for 6 month follow up of probably benign calcifications in right breast
3Â m.52-year-old woman for 12 month follow up of probably benign 5 mm oval mass in right breast
3Â m.16-year-old girl for 6 month follow up of probably benign mass in right breast
3Â m.56-year-old woman for follow up of probably benign clustered microcysts in right breast
4Â m.3 topics, 5 min.
8 topics, 20 min.
Pregnant and Lactating Women Overview
6Â m.26-year-old woman, 20 weeks pregnant, with left breast pain
2Â m.32-year-old woman, 21 weeks pregnant, with palpable lump left breast
4Â m.33-year-old lactating woman with palpable lump left breast
3Â m.32-year-old woman, 1 year postpartum, breastfeeding, with palpable lump left breast
3Â m.34-year-old woman, currently lactating, with palpable lump left breast
4Â m.28-year-old woman, 1 year postpartum, with palpable lumps right breast
2Â m.25-year-old woman, 1 month postpartum, breastfeeding, with palpable lump right breast
2Â m.5 topics, 12 min.
Symptomatic Male Patient Overview
4Â m.65-year-old man with pain and palpable lump behind the left nipple for a few months
2Â m.59-year-old man with enlarging and painful left breast over 6 months
3Â m.77-year-old man with painful palpable lump in right subareolar breast
3Â m.75-year-old man, BRCA2 carrier, with palpable lump in right breast
3Â m.0:00
So our next patient is a 74-year-old woman,
0:04
recalled from screening mammography for evaluation
0:07
of architectural distortion in the left breast.
0:11
So for this patient, this was her
0:14
screening mammogram, and we were concerned
0:16
about architectural distortion in the
0:19
left breast, left upper outer breast.
0:23
And this is pretty subtle and kind of
0:26
confounded by the fact that there's a calcified
0:28
artery kind of running right on top of it.
0:31
But the 3D really helped here, and we thought
0:38
that right in here, there was some distortion
0:42
of the tissue, where the tissue was pulled in.
0:45
There's our artery, and it was
0:47
kind of right in this spot.
0:50
And on the MLO (mediolateral oblique) view, we thought
0:53
it was kind of up in this area.
0:55
So very far lateral, but up in that spot.
1:01
So, when the patient came back,
1:03
we did some additional imaging, including
1:07
spot compression in the CC plane.
1:10
Here's the spot compression CC (craniocaudal),
1:14
and this is the tomosynthesis image.
1:19
Still looks like there's some
1:20
lines coming into a central point.
1:22
This distortion is really pretty
1:24
subtle, but it's right in there.
1:27
And then we did an MLO spot.
1:31
Thinking that it was probably in this area,
1:41
felt like it was in this, in this area.
1:45
And then we also did a lateral view.
1:49
We thought the distortion was right in here.
1:53
So we recommended a tomosynthesis-guided biopsy
1:57
from a lateral approach, and that was performed.
2:02
And this was an invasive lobular carcinoma.
2:05
So very subtle, but it was actually a cancer.
Interactive Transcript
0:00
So our next patient is a 74-year-old woman,
0:04
recalled from screening mammography for evaluation
0:07
of architectural distortion in the left breast.
0:11
So for this patient, this was her
0:14
screening mammogram, and we were concerned
0:16
about architectural distortion in the
0:19
left breast, left upper outer breast.
0:23
And this is pretty subtle and kind of
0:26
confounded by the fact that there's a calcified
0:28
artery kind of running right on top of it.
0:31
But the 3D really helped here, and we thought
0:38
that right in here, there was some distortion
0:42
of the tissue, where the tissue was pulled in.
0:45
There's our artery, and it was
0:47
kind of right in this spot.
0:50
And on the MLO (mediolateral oblique) view, we thought
0:53
it was kind of up in this area.
0:55
So very far lateral, but up in that spot.
1:01
So, when the patient came back,
1:03
we did some additional imaging, including
1:07
spot compression in the CC plane.
1:10
Here's the spot compression CC (craniocaudal),
1:14
and this is the tomosynthesis image.
1:19
Still looks like there's some
1:20
lines coming into a central point.
1:22
This distortion is really pretty
1:24
subtle, but it's right in there.
1:27
And then we did an MLO spot.
1:31
Thinking that it was probably in this area,
1:41
felt like it was in this, in this area.
1:45
And then we also did a lateral view.
1:49
We thought the distortion was right in here.
1:53
So we recommended a tomosynthesis-guided biopsy
1:57
from a lateral approach, and that was performed.
2:02
And this was an invasive lobular carcinoma.
2:05
So very subtle, but it was actually a cancer.
Report
Faculty
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
Tags
Women's Health
Tomosynthesis
Neoplastic
Mammography
Breast
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