3. Systematic approach to
every breast case
Breast density
Finding
BIRADS (0 or 2)
----------------------------------------------
Workup
Specific findings
Final Impression and BIRADS (2 or 4)
4. Systematic approach to
every breast case
Breast density
Fatty
Scattered
Hetereogenously dense
Extremely dense
5. Systematic approach to
every breast case
Breast density
Finding
Mass
Asymmetry / Focal asymmetry
Calcifications
Architectural distortion
6. Systematic approach to
every breast case
Breast density
Finding
BIRADS (0 or 2)
---------------------------------------------------------
7. Systematic approach to
every breast case
Breast density
Finding
BIRADS (0 or 2)
----------------------------------------------
Workup
Additional views / modalities
8. Systematic approach to
every breast case
Breast density
Finding
BIRADS (0 or 2)
----------------------------------------------
Workup
Specific findings
9. Systematic approach to
every breast case
Breast density
Finding
BIRADS (0 or 2)
----------------------------------------------
Workup
Specific findings
Final Impression and BIRADS (2 or 4)
11. “The breasts are heterogenously dense”
“There is a focal asymmetry in the
superior and central right breast”
“This is a BIRADS 0, additional evaluation
is required”
19. Case 1: Solid mass
1. Specific diagnosis is not important
2. How to workup the finding is the key
3. Be consistent –
Suspicious descriptors BIRADS 4
Benign descriptors BIRADS 2
56. How to do a skin localization
Place alpha- Keep patient in Remove from
numeric grid compression. compression. Take
over Place BB on skin image with BB in
calcifications & directly over the tangent to prove
image. calcs & image. calcs are in the skin
57. Milk of Calcium Skin calcifications
Secretory calcifications Hyalinized fibroadenoma
Other Benign
Calcifications
95. Main MRI finding will be obvious
Look for secondary findings
- multifocal disease
- contralateral disease
- axillary or IM adenopathy
- pectoralis or skin involvement