Breast

Question 1

What is the normal thickness of breast skin

Answer 1

0.5 – 2 mm

Question 2

What are ACR grades of breast

Answer 2

American collage of radiology (ACR)
1. Grade 1 = (0 – 25%)
2. Grade 2 = (25% - 50%)
3. Grade 3 = (50 – 75%)
4. Grade 4 = (75 – 100%)

you should see the images

Question 3

Why MRI is not preferred for breast screening

Answer 3

• High cost
• cannot identify malignant calcifications

Question 4

What is the first line investigation in symptomatic women? and is it used for screening?

Answer 4

US
and is it used for screening?
no

Question 5

so .. what is the best imaging modality for screening

Answer 5

Mammogram

Question 6

What is ABUS

Answer 6

Automatid breast ulatrasound
US for densebreasttissue

Question 7

Which modality has better penetration US or mammogram?

Answer 7

US

Question 8

BI-RADs Categories

Answer 8

1.Negative (N)
2.Benign
3.Probably benign (need to be observed)
4.Suspicious abnormality (S) (tissue biopsy)
5.Highly suggestive of malignancy (M) (tissue biopsy)
6.Proven malignancy (action should be taken)

Question 9

Mammogram Standard Views

Answer 9

CC (cranio codal)
MLO (mediolateral oblique)

Question 10

in mammogram WHAT ARE WE LOOKING FOR?

Answer 10

Masses
Skin thickening
Asymmetry
Calcification
Changes from previous examination

Question 11

Clinical features of Gynecomastia (male)

Answer 11

Acute and chronic phase
In acute phase it’s: soft - mobile - tender - subareolar.
If not subareolar it’s not gynecomastia

Question 12

Types of asymmetry

Answer 12

Focal
Global
Developing

Question 13

Types of benign calcification the breast [8]

Answer 13

Skin calcification
Vascular calcification
Popcorn
Rod like
Rounded
Dystrophic
Rim/eggshell
Milk of calcium

Question 14

Types of suspicious calcification in the breast

Answer 14

Fine pleomorphic
Fine linear branching
Amorphous
Coarse heterogenous