Training Collections
Course Contents
Lesson
Sample Lesson
4 topics, 14 min.
Lesson
Palpable Lumps
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.Lesson
Breast Pain
3 topics, 7 min.
Lesson
Nipple Discharge
3 topics, 8 min.
Lesson
Skin Changes/Inflammation
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.Lesson
Recall from Screening
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.Lesson
Surveillance After Breast Cancer Treatment
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.Lesson
Follow Up Probably Benign Findings - BI-RADS 3
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.Lesson
Follow up Benign Biopsy
3 topics, 5 min.
Lesson
Pregnant and Lactating Women
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.Lesson
Male Patients
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
Our next potential recalled finding is
0:03
architectural distortion, and our protocol for
0:09
looking at these is to do a spot compression
0:12
views in both the CC and MLO projection
0:14
and a full lateral view, and then possible
0:17
ultrasound depending on whether we think
0:19
that there may be an ultrasound correlate.
0:21
And if the screening mammogram was done in
0:23
2D, then we would begin with full CC and MLO.
0:27
Tomosynthesis images with
0:29
additional evaluation as needed.
0:32
And there are some studies that have
0:33
shown that architectural distortion
0:36
is much more commonly identified on
0:38
tomosynthesis compared to 2D and also more
0:41
likely to be malignant if detected on 2D.
0:44
A recent study by Ambinder et al
0:47
showed a 19 percent malignancy rate
0:50
on tomosynthesis-guided biopsy.
0:52
So if you have a distortion on tomosynthesis, uh,
0:56
no ultrasound correlate, you know, just biopsying
1:00
the distortion, the malignancy rate is 19%.
1:03
So really, I think that what that shows
1:06
is that if there's really no explanation
1:08
for the distortion, it requires a biopsy.
1:11
So these are some of the reasons that we can
1:13
see architectural distortion in the breast:
1:16
prior surgery, prior trauma,
1:19
stromal fibrosis, sclerosing adenosis,
1:22
radial scar, complex sclerosing lesion,
1:26
and invasive ductal and invasive lobular carcinomas.
Architectural Distortion Overview
HIDEInteractive Transcript
0:00
Our next potential recalled finding is
0:03
architectural distortion, and our protocol for
0:09
looking at these is to do a spot compression
0:12
views in both the CC and MLO projection
0:14
and a full lateral view, and then possible
0:17
ultrasound depending on whether we think
0:19
that there may be an ultrasound correlate.
0:21
And if the screening mammogram was done in
0:23
2D, then we would begin with full CC and MLO.
0:27
Tomosynthesis images with
0:29
additional evaluation as needed.
0:32
And there are some studies that have
0:33
shown that architectural distortion
0:36
is much more commonly identified on
0:38
tomosynthesis compared to 2D and also more
0:41
likely to be malignant if detected on 2D.
0:44
A recent study by Ambinder et al
0:47
showed a 19 percent malignancy rate
0:50
on tomosynthesis-guided biopsy.
0:52
So if you have a distortion on tomosynthesis, uh,
0:56
no ultrasound correlate, you know, just biopsying
1:00
the distortion, the malignancy rate is 19%.
1:03
So really, I think that what that shows
1:06
is that if there's really no explanation
1:08
for the distortion, it requires a biopsy.
1:11
So these are some of the reasons that we can
1:13
see architectural distortion in the breast:
1:16
prior surgery, prior trauma,
1:19
stromal fibrosis, sclerosing adenosis,
1:22
radial scar, complex sclerosing lesion,
1:26
and invasive ductal and invasive lobular carcinomas.
Report
Faculty
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
Tags
Women's Health
Ultrasound
Non-infectious Inflammatory
Neoplastic
Mammography
Breast
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