 IMAGING FINDINGS:
Mediolateral oblique (MLO) and craniocaudal (CC) views of both breasts demonstrate an irregular mass in the subareolar left breast. There is associated nipple retraction. Corresponding ultrasound image shows a round mass with subtle spiculated margins. WHY IT MATTERS:
FURTHER READING: Male Breast Cancer in the Age of Genetic Testing: An Opportunity for Early Detection, Tailored Therapy, and Surveillance (RadioGraphics 2018)
1 Comment
 IMAGING FINDINGS:
Mediolateral oblique (MLO) and craniocaudal (CC) views of the left breast demonstrate two round circumscribed masses in the upper outer quadrant posteriorly. Spot compression view confirms the finding. Ultrasound evaluation demonstrates two adjacent round hypoechoic masses. They do not have the characteristics of a lymph node. Biopsy revealed multifocal invasive ductal carcinoma. WHY IT MATTERS:
Intramammary Lymph Nodes: Normal and Abnormal Multimodality Imaging Features (BJR 2019)  IMAGING FINDINGS:
Single ultrasound image demonstrates an oval, circumscribed hypoechoic mass. The mass is wider than tall and does not demonstrate any suspicious features. WHY IT MATTERS:
Fibrous Lesions of the Breast: Imaging-Pathologic Correlation (RadioGraphics 2005)  IMAGING FINDINGS:
A mediolateral oblique view demonstrates a large mass with obscured margins in the superior left breast. There are also enlarged left axillary lymph nodes. An ultrasound image demonstrates a large “anechoic” mass. This was said to be a “cyst” by the sonographer. However, the gain is incorrect on this image. With appropriate sonographic settings this proved to be a suspicious hypoechoic mass and ultimately an invasive ductal carcinoma (which is what was expected based on the mammographic findings.) WHY IT MATTERS:
FURTHER READING: Breast Ultrasonography: State of the Art (Radiology 2013)  IMAGING FINDINGS:
Multiple sonographic images obtained at the 5:00 position of the right breast demonstrate normal fibroglandular tissue. A “lesion” was identified and measured in two planes. Color images and harmonic images were also performed for this 1 – 2 mm “lesion.” This case then went on to another institution for a second opinion. WHY IT MATTERS:
FURTHER READING: Breast Ultrasonography: State of the Art (RSNA 2013)  IMAGING FINDINGS:
Sonographic image of the right axilla demonstrates a normal axillary lymph node with a thin cortex. The sonographer (or radiologist) is incorrectly measuring the dimensions of the lymph node. WHY IT MATTERS:
FURTHER READING: Axillary Staging of Breast Cancer: What the Radiologist Should Know (RadioGraphics 2013)  IMAGING FINDINGS:
Sonographic image of a palpable area of concern in the left axilla demonstrates normal dense fibroglandular tissue consistent with prominent accessory breast tissue. WHY IT MATTERS:
FURTHER READING: The ABCs of Accessory Breast Tissue: Basic Information Every Radiologist Should Know (AJR 2014)  IMAGING FINDINGS:
Sonographic image of the nipple and subareolar region shows no abnormality. Notice the large amount of ultrasound gel used to adequately image the subareolar region. WHY IT MATTERS:
FURTHER READING: Nipple-Areolar Complex: Normal Anatomy and Benign and Malignant Processes (RadioGraphics 2009)  IMAGING FINDINGS:
Sonographic image of the right breast with and without the use of harmonics demonstrate an oval isoechoic mass with irregular margins. The mass is much easier to see with harmonics on. WHY IT MATTERS:
FURTHER READING: A Primer on the Physical Principles of Tissue Harmonic Imaging (RadioGraphics 2015)  IMAGING FINDINGS:
Tangential spot MLO view of a palpable lump in the left breast shows a superficial mass with ill-defined margins. Ultrasound evaluation of the palpable area of concern demonstrates an irregular mixed echogencity superficial mass. WHY IT MATTERS:
Radiation-Induced Sarcoma of the Breast: A Systematic Review (The Oncologist, 2012) |
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