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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
4 topics, 14 min.
5 topics, 16 min.
53-year-old woman with palpable lump in right breast
3 m.25-year-old woman with bilateral breast implants and palpable lump in right breast
2 m.78-year-old woman with palpable lump in right upper outer breast
5 m.54-year-old woman with palpable lump in left breast
5 m.38-year-old woman with palpable lump in right upper breast
5 m.3 topics, 7 min.
3 topics, 8 min.
10 topics, 23 min.
Skin Changes and Mastitis Overview
2 m.39-year-old woman with fever and cellulitis of the right breast, recently stopped breastfeeding
3 m.18-year-old woman with painful palpable lump in left breast
2 m.Granulomatous Mastitis Overview
2 m.29-year-old with palpable mass in left breast
2 m.31-year-old woman with palpable lump and skin redness in left breast
5 m.Inflammatory Breast Cancer Overview
2 m.55-year-old woman with skin thickening and redness in right breast
4 m.68-year-old woman with skin thickening and palpable lump in left breast
4 m.43-year-old woman with diffuse left breast pain and palpable lump. Family history of breast cancer
4 m.29 topics, 1 hr. 7 min.
Asymmetry Overview
6 m.47-year-old woman recalled for asymmetry in left breast
4 m.59-year-old woman recalled for focal asymmetry in left breast
3 m.69-year-old woman recalled for developing asymmetry in right breast
4 m.46-year-old woman recalled for developing asymmetry in right breast
4 m.64-year-old woman recalled for calcifications and developing asymmetry
4 m.51-year-old woman recalled for developing asymmetry in right breast
3 m.79-year-old woman recalled for developing asymmetry in anterior right breast
4 m.Breast Mass Overview
2 m.43-year-old woman recalled for mass in left upper outer breast
3 m.40-year-old woman recalled for 12 mm mass in right breast
2 m.62-year-old woman recalled for mass in right upper outer breast
2 m.80-year-old woman with remote history of right mastectomy, recalled for mass in left breast
3 m.41-year-old woman recalled for mass in right breast
3 m.Architectural Distortion Overview
2 m.69-year-old woman recalled for architectural distortion in left breast
4 m.74-year-old woman recalled for architectural distortion in left breast
3 m.54-year-old woman recalled for distortion in left anterior breast
3 m.62-year-old woman recalled for distortion in left breast
3 m.Calcification Overview
1 m.54-year-old woman recalled for calcifications in left upper outer breast
2 m.57-year-old woman recalled for calcifications in left breast
2 m.51-year-old woman recalled for calcifications in right upper outer breast
2 m.60-year-old woman recalled for calcification in right breast
2 m.53-year-old woman recalled for calcifications in left breast
2 m.Large Axillary Lymph Node Overview
2 m.53-year-old woman recalled for large left axillary lymph node
3 m.80-year-old woman with history of breast cancer treatment recalled for large lymph nodes in left axilla
2 m.49-year-old woman recalled for asymmetry in left breast and large left axillary lymph node
3 m.5 topics, 16 min.
Annual Surveillance after Breast Cancer Treatment Overview
4 m.57-year-old woman with history of right breast cancer 10 years ago. Annual follow up
3 m.62-year-old woman with history of left breast cancer 4 years ago. Annual follow up
4 m.61-year-old woman with history of left breast DCIS 10 years ago. Annual follow up
3 m.65-year-old woman with history of left breast cancer 12 years ago. Annual follow up
4 m.5 topics, 16 min.
Follow Up Probably Benign Findings- BI-RADS 3 - Overview
8 m.60-year-old woman for 6 month follow up of probably benign calcifications in right breast
3 m.52-year-old woman for 12 month follow up of probably benign 5 mm oval mass in right breast
3 m.16-year-old girl for 6 month follow up of probably benign mass in right breast
3 m.56-year-old woman for follow up of probably benign clustered microcysts in right breast
4 m.3 topics, 5 min.
8 topics, 20 min.
Pregnant and Lactating Women Overview
6 m.26-year-old woman, 20 weeks pregnant, with left breast pain
2 m.32-year-old woman, 21 weeks pregnant, with palpable lump left breast
4 m.33-year-old lactating woman with palpable lump left breast
3 m.32-year-old woman, 1 year postpartum, breastfeeding, with palpable lump left breast
3 m.34-year-old woman, currently lactating, with palpable lump left breast
4 m.28-year-old woman, 1 year postpartum, with palpable lumps right breast
2 m.25-year-old woman, 1 month postpartum, breastfeeding, with palpable lump right breast
2 m.5 topics, 12 min.
Symptomatic Male Patient Overview
4 m.65-year-old man with pain and palpable lump behind the left nipple for a few months
2 m.59-year-old man with enlarging and painful left breast over 6 months
3 m.77-year-old man with painful palpable lump in right subareolar breast
3 m.75-year-old man, BRCA2 carrier, with palpable lump in right breast
3 m.0:00
Hi, I'm Dr. Lisa Mullen from the Breast Imaging
0:02
3 00:00:04,170 --> 00:00:06,410 Division at Johns Hopkins Medicine.
0:06
I'm going to be speaking about
0:08
diagnostic breast imaging.
0:10
We're going to review some of the issues
0:12
that we see most commonly in a day on the
0:14
Diagnostic Breast Imaging Service, and I'll
0:16
talk about how I would approach each case
0:20
based on the patient's age and presentation.
0:24
So here are our objectives.
0:27
I'm going to review cases that would be part
0:29
of a normal day on diagnostic breast imaging.
0:32
We'll discuss the appropriate evaluation
0:34
based on the patient's age and presentation,
0:37
and hopefully become more comfortable
0:39
with diagnostic breast imaging.
0:43
These are the topics that I'm planning to cover.
0:46
We're going to review palpable
0:47
lumps, pain, nipple discharge.
0:51
Skin changes and inflammation, recall from
0:54
screening mammography, surveillance after breast
0:57
cancer treatment, follow-up of probably benign
1:00
findings, and follow-up after benign biopsy.
1:04
And then we'll talk about special
1:05
populations, and this would be pregnant
1:09
and lactating women and male patients.
1:13
The sources of the protocols that I'm
1:15
going to be discussing really come
1:17
from the ACR appropriateness criteria.
1:19
And I'm going to lean very heavily on them today.
1:22
And also from the breast imaging literature.
1:25
And Johns Hopkins has breast imaging protocols
1:27
as well that we use daily in our practice.
1:30
So we'll be talking about them as well.
Interactive Transcript
0:00
Hi, I'm Dr. Lisa Mullen from the Breast Imaging
0:02
3 00:00:04,170 --> 00:00:06,410 Division at Johns Hopkins Medicine.
0:06
I'm going to be speaking about
0:08
diagnostic breast imaging.
0:10
We're going to review some of the issues
0:12
that we see most commonly in a day on the
0:14
Diagnostic Breast Imaging Service, and I'll
0:16
talk about how I would approach each case
0:20
based on the patient's age and presentation.
0:24
So here are our objectives.
0:27
I'm going to review cases that would be part
0:29
of a normal day on diagnostic breast imaging.
0:32
We'll discuss the appropriate evaluation
0:34
based on the patient's age and presentation,
0:37
and hopefully become more comfortable
0:39
with diagnostic breast imaging.
0:43
These are the topics that I'm planning to cover.
0:46
We're going to review palpable
0:47
lumps, pain, nipple discharge.
0:51
Skin changes and inflammation, recall from
0:54
screening mammography, surveillance after breast
0:57
cancer treatment, follow-up of probably benign
1:00
findings, and follow-up after benign biopsy.
1:04
And then we'll talk about special
1:05
populations, and this would be pregnant
1:09
and lactating women and male patients.
1:13
The sources of the protocols that I'm
1:15
going to be discussing really come
1:17
from the ACR appropriateness criteria.
1:19
And I'm going to lean very heavily on them today.
1:22
And also from the breast imaging literature.
1:25
And Johns Hopkins has breast imaging protocols
1:27
as well that we use daily in our practice.
1:30
So we'll be talking about them as well.
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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