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

Wk 1, Case 1 - Practice

Wk 1, Case 1 - Review

Wk 1, Case 2 - Practice

Wk 1, Case 2 - Review

Wk 1, Case 3 - Practice

Wk 1, Case 3 - Review

Wk 1, Case 4 - Practice

Wk 1, Case 4 - Review

Wk 1, Case 5 -  Practice

Wk 1, Case 5 -  Review

Practice Cases

Wk 2, Case 1 - Practice

Wk 2, Case 1 - Review

Wk 2, Case 2 - Practice

Wk 2, Case 2 - Review

Wk 2, Case 3 - Practice

Wk 2, Case 3 - Review

Wk 2, Case 4 - Practice

Wk 2, Case 4 - Review

Wk 2, Case 5 - Practice

Wk 2, Case 5 - Review

Wk 3, Case 1 - Practice

Wk 3, Case 1 - Review

Wk 3, Case 2 - Practice

Wk 3, Case 2 - Review

Wk 3, Case 3 - Practice

Wk 3, Case 3 - Review

Wk 3, Case 4 - Practice

Wk 3, Case 4 - Review

Wk 3, Case 5 - Practice

Wk 3, Case 5 - Review

Wk 4, Case 1 - Practice

Wk 4, Case 1 - Review

Wk 4, Case 2 - Practice

Wk 4, Case 2 - Review

Wk 4, Case 3 - Practice

Wk 4, Case 3 - Review

Wk 4, Case 4 -  Practice

Wk 4, Case 4 - Review

Wk 4, Case 5 - Practice

Wk 4, Case 5 - Review

Wk 5, Case 1 - Practice

Wk 5, Case 1 - Review

Wk 5, Case 2 - Practice

Wk 5, Case 2 - Review

Wk 5, Case 3 - Practice

Wk 5, Case 3 - Review

Wk 5, Case 4 - Practice

Wk 5, Case 4 - Review

Wk 5, Case 5 - Practice

Wk 5, Case 5 - Review

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.

&nbsp;

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 presenting with a palpable right breast mass. US guided biopsy of mass showed invasive ductal carcinoma ER+ PR+ Heu2+. Right axillary node biopsy was negative.

Summary of prior imaging:

Mammography: Extremely dense breasts with ill-defined 4cm mass RUOQ Ultrasound: 3.5 cm lobulated vascular hypoechoic mass 11:30 4cm FN. 2 cm right axillary node with thickened cortex.
Breast MRI: NA

FINDINGS

Quality control issues: ☐None ☒Poor/lack contrast bolus ☐Poor fat suppression
☐	Susceptibility ☐Movement ☐Other: Click or tap here to enter text.

Background Parenchymal Enhancement: Minimal
Amount of Fibroglandular Tissue: Extreme fibroglandular tissue

LEFT BREAST
Narrative: Multiple cysts, no enhancing lesions

Associated findings LEFT breast: ☐Nipple retraction, ☐Nipple involvement, ☐Skin retraction, ☐Skin thickening, ☐Skin invasion-direct, ☐Skin invasion-inflammatory,
☐	Pectoral muscle invasion, ☐Chest wall invasion, ☐ Architectural distortion

Non-enhancing findings LEFT breast: ☐High ductal signal pre contrast T1, ☒Cyst(s),
☐	Hematoma/seroma, ☐Post therapy skin/trabecular thickening, ☐Non-enhancing mass,
☐	Architectural distortion, ☐Signal void from clips

Fat containing lesions LEFT: ☐Fat necrosis, ☐Hamartoma, ☐Post-operative seroma/hematoma with fat

Lymph nodes LEFT: ☒Normal axillary, ☐Abnormal axillary: description, ☐ Abnormal internal mammary: description
 

RIGHT BREAST
Narrative: Lack of intravenous contrast negates evaluation of this study. Known IDC is seen as 3.5 cm “non enhancing” mass with peripheral clip artifact. Multiple cysts

Right breast lesion 1
Lesion type: Mass
3.5 cm. Upper outer Quadrant. 11:00 Radian. 4 cm from the nipple
Mass/post-surgical change: Shape:Oval/lobulated. Margins:Circumscribed , Enhancement
cannot be evaluated.
BI-RADS:6: Known biopsy-proven malignancy – Appropriate action should be taken

Associated findings RIGHT breast: ☐Nipple retraction, ☐Nipple involvement, ☐Skin retraction, ☐Skin thickening, ☐Skin invasion-direct, ☐Skin invasion-inflammatory,
☐	Pectoral muscle invasion, ☐Chest wall invasion, ☐ Architectural distortion

Non-enhancing findings RIGHT breast: ☐High ductal signal pre contrast T1, ☒Cyst(s),
☐	Hematoma/seroma, ☐Post therapy skin/trabecular thickening, ☒Non-enhancing mass,
☐	Architectural distortion, ☒Signal void from clips

Fat containing lesions RIGHT: ☐Fat necrosis, ☐Hamartoma, ☐Post-operative seroma/hematoma with fat

Lymph nodes RIGHT: ☐Normal axillary, ☒Abnormal axillary: At least 2 mildly abnormal nodes, largest 16 mm with a clip artifact, ☐ Abnormal internal mammary: description


Extramammary findings: None

SUMMARY: Failed contrast bolus. Known 3.5 cm Right IDC does not therefore enhance

RECOMMENDATIONS: Repeat study as soon as possible

Case

44-year-old woman presenting with a palpable right breast mass. US guided biopsy of mass showed invasive ductal carcinoma ER+ PR+ Heu2+. Right axillary node biopsy was negative.Summary of Prior Imaging:Mammography: Extremely dense breasts with ill-defined 4cm mass RUOQUltrasound: 3.5 cm lobulated vascular hypoechoic mass 11:30 4cm FN. 2 cm right axillary node with thickened cortex.Breast MRI: NAWhat is the overall BI-RADS assessment for this case?