Imaging the breast Flashcards

1
Q

What condition might microcalcifications in the breast indicate?

A

Ductal carcinoma in situ

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2
Q

How does fat necrosis present in mammography?

A

Abnormal mass or calcifications in the breast

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3
Q

Which is the only imaging modality that can detect microcalcifications?

A

Mammogram

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4
Q

What is the modality of imaging used in patients presenting with a breast lump over the age of 40?

A

Mammogram

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5
Q

What is the modality of imaging used in patients presenting with a breast lump under the age of 40?

A

Ultrasound

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6
Q

What is mammography?

A

A low dose xray designed specifically to maximise contrast between the breast tissues

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7
Q

Which form of mammography is most useful in dense breasts or in younger women?

A

Digital mammography

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8
Q

What are the indications for mammography?

A

Screening in asymptomatic women

All women with a palpable mass over 40y to exclude or confirm malignancy & assess normality of contralateral breast

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9
Q

What are the two views from which a mammogram is normally taken?

A

Mediolateral

Craniocaudal

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10
Q

How can a mediolateral mammogram be differentiated from a craniocaudal mammogram?

A

Can see the pec major in the image of ML

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11
Q

What view has this mammogram been taken from?

A

Craniocaudal

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12
Q

What are the classifications of BIRADs for breast density?

A
  • a: nearly all fat
  • b: scattered fibroglandular densities (25-50%)
  • c: heterogeneously dense (51-75% glandular)
  • d: extremely dense (> 75% glandular)
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13
Q

How would this breast be classified on BIRADs?

A

D: the breast tissue is completely dense and it would be difficult to spot a malignancy

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14
Q

What are the features of malignant calcification on mammogram?

A

Clustered or segmental

Rhomboid forms

Linear/branching/Y shaped forms

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15
Q

What are the indications for ultrasound of the breast?

A

Palpable lesions in women <40

Nipple discharge

Breast implants

Inflammatory conditions e.g. abcess

Evaluation of response to chemotherapy

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16
Q

What is this ultrasound showing and why?

A

Fluid filled (black)

Round shape

Clear edges

17
Q

What are the features of a benign solid nodule on ultrasound?

A

Circumscribed

“Wider than Tall”

Homogeneous/uniform

Peripheral/no vascularity

Often Multiple

18
Q

What are the features of a malignant solid nodule on ultrasound?

A

Poorly Circumscribed

Hypoechoic

Heterogeneous

“Taller than wide”

Spiculate

Oedema/peritumoral fat

19
Q

Is this lesion likely to be benign or malignant?

A

Malignant

20
Q

Is this lesion likely to be benign or malignant?

A

Benign