4.3. Breast High Yield

Question 1

Thick Coopers ligaments

Answer 1

oedema

Question 2

Shrinking breast

Answer 2

ILC

Question 3

Thick fuzzy coopers ligaments with normal skin

Answer 3

Blur

Question 4

Dashes but no dots

Answer 4

Secretory calcifications

Question 5

Cigar shaped calcifications

Answer 5

Secretory calcifications

Question 6

Popcorn calcifications

Answer 6

Degenerated fibroadenomas

Question 7

Breast within a breast

Answer 7

Hamartoma

Question 8

Fat-fluid level

Answer 8

Galactocele

Question 9

Rapid growing fibroadenoma

Answer 9

Phyllodes

Question 10

Swollen red breast, not responding to antibiotics

Answer 10

Inflammatory breast cancer

Question 11

Lines radiating to a single point

Answer 11

Architectural distortion

Question 12

Architectural distortion + calcifications

Answer 12

IDC + DCIS

Question 13

Architectural distortion without calcifications

Answer 13

ILC (invasive lobular carcinoma)

Question 14

Stepladder sign

Answer 14

Intracapsular rupture on US

Question 15

Linguine sign

Answer 15

Intracapsular rupture on MRI

Question 16

Residual calcification in lumpectomy bed

Answer 16

Local recurrence

Question 17

No calcifications in the core

Answer 17

Milk of calcium (requires polarized light to be seen)

Question 18

Difference for Magnified views (mammo)

Answer 18

No grid

Question 19

Nipple enhancement on MRI post contrast

Answer 19

Can be normal, not always pagets

Question 20

Commonest location for breast Ca

Answer 20

Upper outer quadrant (has densest tissue)

Question 21

Majority of blood supply to breast

Answer 21

Internal mammary artery (60%)

Question 22

Majority of breast lymph drainage

Answer 22

Axilla (97%)

Question 23

Only view to see sternalis muscle

Answer 23

CC view

Question 24

Commonest location for ectopic breast tissue

Answer 24

Axilla

Question 25

Best time (of the month) to have mammo or MRI

Answer 25

Follicular phase (day 7-14)

Question 26

Time (of month) for max breast tenderness

Answer 26

Day 27-30

Question 27

Most comprehensive breast risk model

Answer 27

Tyrer Cuzick (doesn’t account for breast density)

Question 28

Condition for screening MRI for women

Answer 28

> 20Gy chest radiation as a child

Question 29

Genetic mutation seen in male breast Ca

Answer 29

BRCA 2

Question 30

BRCA 1 vs BRCA 2

Answer 30

BRCA 1 more often in young patients or triple negative breast Ca
BRCA 2 more common in post menopausal

Question 31

LMO view used in…

Answer 31

Kyphosis, pectus excavatum, to avoid pacemaker/line

Question 32

ML use case

Answer 32

To help catch milk of calcium layering

Question 33

Most suspicious morphology of calcification

Answer 33

Fine pleomorphic calcification

Question 34

Intramammary lymph nodes distribution

Answer 34

NOT in the fibroglandular tissue

Question 35

Surgical scar progression over time

Answer 35

Should get lighter. Denser suggests cancer recurrence

Question 36

Intracapsular vs extracapsular rupture

Answer 36

Intracapsular CAN be isolated. Extra is always WITH intra

Question 37

Silicone in a lymph node

Answer 37

Recommend MRI to evaluate for intracapsular rupture

Question 38

No.1 risk factor for implant rupture

Answer 38

Age of implant

Question 39

Tamoxifen and parenchymal uptake

Answer 39

Causes a decrease, then a rebound increase

Question 40

T2 bright lesions are…

Answer 40

Usually benign. Colloid cancer is T2 bright