By Gilda Cardenosa MD FACR
Prepared by way of a preeminent breast imaging professional, this case-based educating dossier atlas offers a clinically orientated method of screening, diagnostic assessment, and administration of sufferers with breast stipulations encountered by way of radiologists. Dr. Cardeñosa takes the reader via greater than one hundred seventy real sufferer instances, from vintage "Aunt Minnies" to extra advanced and debatable difficulties in screening, diagnostic review, and sufferer administration. situations are completely illustrated with transparent, sharp images—over 800 photos total—and comprise a number of imaging stories, pathology experiences, and pathologic correlations the place acceptable. Emphasis is on selecting the medical value of abnormalities or strength abnormalities detected on images.
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Additional info for Clinical Breast Imaging: A Patient Focused Teaching File
A cluster of dense, tightl y packed calcifications i also present (Fig. 10C, ar row), with no associated soft tissue component. Scattered benign calcifications and a terial calcifica tion (Fig. 10C arrowheads) are incidentally noted. These are all hyalinizing fibroadenomas. , a cluster of calcifications alone can repr sent a hyalinizing fibroadenoma). These findings require no addi tional evaluation or shor t-interval follow-up. However, don’t be lulled by obviously benign findings; ma e sure to focus your attention on the remainder of the mammogram.
In some patients, these become palpable as they calcify 1 or 2 years following the surgery. When they are palpable, it is important to reassure the patient that the palpab le finding is benign and requires no fur ther intervention. It is also impor tant that a definit ve report be issued. BI-RADS® category 1: negative. BI-RADS® category 2: benign finding is used if the findings are described in the body of th report. Next screening mammogram is recommended in 1 year. 9. Screening study, 70-year-old woman.
These are benign and require no additional e valuation or inter vention. Also noted is vascular calcification. Annual screening mammography is recommended for these two patients. However, a word of caution is indicated when large rodlike calcifications d velop focally in a patient, particularly if the calcifications are not oriented t ward the nipple and there are no other calcifications in either breast. Rare y, ductal carcinoma in situ (DCIS) with central necrosis can present with calcifications that m y be mistaken for the type of calcificatio illustrated here.
Clinical Breast Imaging: A Patient Focused Teaching File by Gilda Cardenosa MD FACR