BRANT: Chapter 21: BI-RADS

Question 1

Pathologic microcalcifications are often associated with necrotic tumor debris. This is most commonly seen with ____

Answer 1

DCIS

Ductal carcinoma in situ (DCIS)

Question 2

This group of calcifications has the highest likelihood of malignancy of all the calcification morphology descriptors at about 70% and almost always requires biopsy

Answer 2

Fine linear or fine linear branching calcifications

You may see calcifications that look like a “Y” or a “V” that suggest their location within the branches of a milk duct.

Question 3

Fine pleomorphic calcifications are usually ____ mm in size and have a variety of sizes and shapes

Answer 3

<0.5

Likelihood of malignancy is about 30%

Question 4

Distribution of calcification:
a. Distribution of calcifications that has the lowest correlation with malignancy
b. Refers to when calcifications occupy a large area that is more than one ductal system
c. Refers to when calcifications occupy a small area, usually within 2 cm
d. Refers to when calcifications appear wedge shaped with the broad base closer to the chest wall and tapering toward the nipple; These calcifications span more than half the distance from the chest wall to the nipple.

Answer 4

a. Diffuse
b. Regional
c. Grouped
d. Segmental

Question 5

Describe the morphology

Answer 5

ine Linear or Fine Linear Branching Calcifications

Question 6

Most worrisome of calcification distribution descriptor with likelihood of malignancy of 62%

Answer 6

Segmental

Question 7

Also known as large rod-like calcifications which are benign calcifications of the duct. Branching pattern is common. They are smooth and cigar shaped. They are most often diffuse, bilateral, and seen almost exclusively in postmenopausal women.

Answer 7

Secretory calcifications

Question 8

Benign or malignant?

Answer 8

Benign

Popcorn calcifications commonly seen in involuting or degenerating fibroadenomas

Question 9

The following are considered benign calcifications, except:
a. Round
b. Popcorn
c. Rim
d. Coarse heterogeneous

Answer 9

d. Coarse heterogeneous

Question 10

These eggshell calcifications are often seen in:
a. Oil cysts
b. Fat necrosis
c. Both
d. Neither

Answer 10

c. Both

Question 11

29/F with history of breast trauma. Describe the calcification

Answer 11

Dystrophic calcifications

Question 12

The following can present with architectural distortion, except:
a. Prior surgery
b. Trauma
c. Fibrosis
d. Radial scar
e. AOTA are causes

Answer 12

e. AOTA are causes

Question 13

Most suspicious type of asymmetry

Answer 13

Developing asymmetry

It is new or larger when compared to priors (Fig. 21.38). It has the highest association with malignancy—with a PPV of approximately 12.8% at screening and 26.7% at diagnostic mammography

Question 14

This margin descriptor is unique to ultrasound. The edges of the mass are forming acute angles or tail-like extensions. This can signify extension of the mass from a milk duct.

Answer 14

Angular

Question 15

Which of the following has the highest associated with malignancy?
a. Simple cyst
b. Clustered microcysts
c. Complicated cysts
d. Complex cystic and solid mass

Answer 15

Question 16

In mammography, if more than 25% of the margin is not well seen due to overlapping fibroglandular tissue, it is considered ____

Answer 16

Obscured

Question 17

Findings in Assessment Category 3 usually undergo short interval follow-up for a total of ____ years

Answer 17

2

Question 18

This BIRADS category is used for classic appearance of cancers

Answer 18

BI-RADS 5 (>95%)

Irregular, spiculated, high- density masses or segmental fine linear branching calcifications