Breast MRI Fellowship Practice Cases

Breast

MBBS

Petra J Lewis

Sheryl G. Jordan

Ryan W. Woods

Gain confidence reading and reporting on Breast MRI Cases with the Medality Fellowship Certificate Program. Practice using real-world, scrollable cases, earn CME, and receive a Fellowship Certificate™ upon completion!

Case Review

Women's Health

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Practice Cases

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Course Evaluation

Post-Course Activities

Welcome to the Breast MRI Fellowship Practice Cases course! In this course, you&rsquo;ll be presented with a series of worklists, comprised of 25 essential cases you must review to receive your Fellowship Certificate.

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Access Full Fellowship Certificate Program at Anytime <a href="https://mrionline.com/proficiency/breast-mri-fellowship-certificate/" style="text-decoration:none">Here</a>

Breast MRI Practice Cases

HISTORY: 44 year old woman with history of treated T2N1 right breast cancer status post lumpectomy, known ataxia telangiectasia-mutated (ATM) gene, and heterogeneously dense breasts presented for high risk screening.

Summary of prior imaging:

Mammography: Breast conserving therapy (BCT) changes right breast, postoperative changes in the right axilla and stable benign appearing 0.9 mass left breast 3:00 middle depth.

Ultrasound: None applicable

Breast MRI: No evidence of malignancy, BCT changes right breast and benign cysts with rim enhancement left breast

FINDINGS

Quality control issues: ☒None ☐Poor/lack contrast bolus ☐Poor fat suppression
☐Susceptibility ☐Movement ☐Other

Background Parenchymal Enhancement: Minimal

Amount of Fibroglandular Tissue: Heterogenous glandular tissue

LEFT BREAST

Narrative
There are two inflammatory cysts in the left breast laterally. There are no suspicious enhancing masses. No axillary or internal mammary lymphadenopathy is seen. There is no abnormal skin or pectoralis muscle enhancement.

Left breast lesion 1

Lesion type: Mass
1.4 cm. Lower outer Quadrant. 3:30 Radian. 4.5 cm from the nipple.

Mass/post-surgical change: Shape:Round. Margins:Circumscribed. Enhancement: Rim.

BI-RADS:2: Benign

Left breast lesion 2

Lesion type: Mass
1.2 cm. Lower outer Quadrant. 4:00 Radian. 4.5 cm from the nipple.

Mass/post-surgical change: Shape:Round. Margins:Circumscribed. Enhancement: Rim.

BI-RADS:2: Benign

Lymph nodes LEFT: ☒Normal axilla

RIGHT BREAST

Narrative
The right breast is smaller is size, with architectural distortion in the central breast. Postoperative changes are present in the breast and axilla and the nipple is absent. There are no suspicious enhancing masses. No axillary or internal mammary lymphadenopathy is seen. There is no abnormal skin or pectoralis muscle enhancement.

Right breast lesion 1
Lesion type: Choose an item.
Longest measurement cm. Choose an item Quadrant. Choose an item. Radian. dist from nipple cm from the nipple

BI-RADS: 2: Benign: Routine breast MRI screening if cumulative lifetime risk =>20%

Non-enhancing findings RIGHT breast: ☒Post therapy architectural distortion ☒Signal voids in skin and subdermal fat

Lymph nodes RIGHT: ☒Normal axilla status post node removal

Extramammary findings: None

SUMMARY: Benign left breast enhancing cysts, right BCT

LEFT BI-RADS:2: Benign

RIGHT BI-RADS:2: Benign

Case

44 year old woman with history of treated T2N1 right breast cancer status post lumpectomy, known ataxia telangiectasia-mutated (ATM) gene, and heterogeneously dense breasts presented for high risk screening.Summary of Prior Imaging:Mammography: Breast conserving therapy (BCT) changes right breast, postoperative changes in the right axilla and stable benign appearing 0.9 mass left breast 3:00 middle depth.Ultrasound: None applicableBreast MRI: No evidence of malignancy, BCT changes right breast and benign cysts with rim enhancement left breastWhat is the overall BI-RADS assessment for this case?