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

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Wk 1, Case 3 - Review

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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

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Wk 2, Case 2 - Review

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Wk 2, Case 3 - Review

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Wk 2, Case 5 - Review

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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: 51 year old woman, high risk screening, recently diagnosed as BRCA1 after her sister was diagnosed with breast cancer. No personal history of breast cancer.

Summary of prior imaging

Mammography: Normal
Ultrasound: N/A
Breast MRI: N/A

FINDINGS

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

Background Parenchymal Enhancement: Minimal
Amount of Fibroglandular Tissue: Almost entirely fatty

LEFT BREAST

Narrative: Normal

BI-RADS:1: Negative

Associated findings LEFT breast: X NONE ☐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, ☐ Abnormal internal mammary

RIGHT BREAST

Narrative: 2 cm area of inadequate fat suppression in the right upper inner breast which along with some movement artifact produces a false enhancement artifact (pseudolesion). No areas of enhancement of concern for malignancy.

BI-RADS:2: Benign

Associated findings RIGHT breast: XNONE ☐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, ☐ Abnormal internal mammary

Extramammary findings: None

SUMMARY: No evidence of malignancy

RECOMMENDATIONS: Continue annual high-risk screening.

Case

51 year old woman, high risk screening, recently diagnosed as BRCA1 after her sister was diagnosed with breast cancer. No personal history of breast cancer.Summary of Prior Imaging: Mammography: NormalUltrasound: NABreast MRI: NAWhat is the overall BI-RADS assessment for this case?