102

Case 102


Case History


A 39-year-old woman presents with a right breast palpable lump. She is 6 months post-partum and is still breast-feeding. She was initially studied with lower-frequency sonography (Fig. 102–2). Her sonogram was interpreted as BI-RADS Category 3 (probably benign lesion, short-term follow-up recommended). After 1 month, because symptoms persisted, she was examined with high-frequency sonography (Fig. 102–3). As a result of her high-frequency sonogram, mammograms were performed (Fig. 102–1).


Physical Examination



•   right breast: palpable lump at the 6:00 position


•   left breast: normal exam


Mammogram


Calcifications (Fig. 102–1)



•   type: pleomorphic/heterogeneous


•   distribution: grouped/clustered




Image


Figure 102–1. Near the right 6:00 position, there is a cluster of heterogeneous calcifications that corresponds to a palpable lump, which is marked with a radiopaque marker. (A). Right MLO mammogram. (B). Right CC mammogram. (C). Right MLO magnification mammogram.


Ultrasound


Low Frequency


Frequency



•   7 MHz


Mass


Jan 11, 2016 | Posted by in BREAST IMAGING | Comments Off on 102

Full access? Get Clinical Tree

Get Clinical Tree app for offline access