Mammo

Question 1

Level 1 axillary lymph node

Answer 1

lateral to pec minor

Question 2

level 2 ax node

Answer 2

under pec minor

Question 3

level 3 ax node

Answer 3

medial and above pec minor

Question 4

rotter node

Answer 4

between pec minor and major

Question 5

What is the best time to image breasts

Answer 5

follicular phase day 7-14

Question 6

When is a LMO view obtained? 2

Answer 6

kyphosis/pectus excavatum or avoid pacer/line

Question 7

How many cancer diagnoses should be made per 1000 mammos?

Answer 7

3-8

Question 8

What should PPV be?

Answer 8

4%

Question 9

Shape on mammo

Answer 9

ROI round oval irregular

Question 10

Margin on mammo

Answer 10

circumscribed
obscured
microlobulated
indistinct
spiculated

Question 11

Margin on US

Answer 11

circumscribed
angulated
microlobulated 
indistinct
spiculated

Question 12

5 things to describe mass on US

Answer 12

shape
margin
posterior features
echo pattern
orientation

Question 13

Background parenchymal enhancement is based off of what on MRI?

Answer 13

1st post contrast sequence

Question 14

What three categories are there for lesion analsysi on MRI?

Answer 14

foci, mass, non mass like enhancement

Question 15

Margin on MRI

Answer 15

circumscribed irregular spiculated

Question 16

What are the four internal enhancement patterns on MRI?

Answer 16

homogeneous
heterogeneous
rim
dark internal septation

Question 17

What are the 7 types of non mass like enhancement on MRI?

Answer 17

focal
linear
linear branching
segmental
regional
multiple regional

Question 18

clustered ring enhancement on MRI=

Answer 18

DCIS or IDC

Question 19

What are the five distributions of calcifications?

Answer 19

segmental
linear
grouped
regional
scattered

Question 20

cigar shaped w/ lucent center-

Answer 20

secretory calcs

Question 21

calcs 10-20 years after menopause=

Answer 21

secretory calcs

Question 22

massive eggshell calcs=

Answer 22

liponecrosis macrocystica

Question 23

How is milk of calcium seen on biopsy?

Answer 23

polarized light for birefringence

Question 24

4 ddx for amorphous calcs

Answer 24

fibrocystic change
sclerosing adenosis
columnar cell change
DCIS low grade

Question 25

4 ddx coarse heterogeneous calcs

Answer 25

fibroadenoma papilloma fibrocystic change DCIS low intermediate grade

Question 26

4 ddx fine pleomorphic calcs

Answer 26

fibroadnoma papilloma fibrocystic change DCIS

Question 27

What is the puff of smoke sign in mammo

Answer 27

central calcs in mass

Question 28

A ton of oil cysts=

Answer 28

steatocystoma multiplex

Question 29

PASH f/u recommendation?

Answer 29

1 year

Question 30

fibroadenoma characteristics on MRI?

Answer 30

T2 bright with type 1 enhancement

Question 31

what IDC type is associated with radial scar?

Answer 31

tubular

Question 32

What does ILC look like on US?

Answer 32

shadowing without a discrete mass

Question 33

shrinking breast=

Answer 33

ILC

Question 34

dark star ddx 4

Answer 34

lobular carcinoma, radial scar, surgical scar, IDC NOS

Question 35

What is breast pagets associated with?

Answer 35

high grade DCIS

Question 36

Radial scar is a/w what three things?

Answer 36

DCIS, IDC, tubular carcinoma

Question 37

What is the most common benign cause of nipple discharge in a postmenopausal woman?

Answer 37

ductal ectasia

Question 38

What is the most common benign cause of nipple discharge in a premenopausal woman?

Answer 38

fibrocystic change

Question 39

AD + calcs=

Answer 39

IDC and DCIS

Question 40

AD without calc=

Answer 40

ILC

Question 41

normal lymph node cortical thickness?

Answer 41

less than 2.3-3mm

Question 42

dense calcs in lymph node=

Answer 42

gold therapy

Question 43

snow storm node=

Answer 43

silicone infiltration or gel bleed

Question 44

What is diffuse glandular gynecomastia seen in?

Answer 44

men with estrogen therapy

Question 45

What is the second most common palpable mass in a man?

Answer 45

lipoma

Question 46

What is the most common type of male breast cancer?

Answer 46

IDC NOS

Question 47

step ladder on US

Answer 47

intracapsular rupture

Question 48

linguine sign on MRI

Answer 48

intracapsular rupture

Question 49

What is the local recurrence rate when treated with breast conserving therapy?

Answer 49

6-8%

Question 50

What is the peak time for breast cancer recurrence?

Answer 50

4 years

Question 51

Without radiation, what is rate of local recurence?

Answer 51

35%

Question 52

Benign calcs are seen when after treatment?

Answer 52

2 years (opposed to 4 for cancer recurrence)

Question 53

red plaques/skin nodules 6 years after radiation=

Answer 53

secondary angiosarcoma

Question 54

T1

Answer 54

<2cm

Question 55

T2

Answer 55

2-5 cm

Question 56

T3

Answer 56

>5cm

Question 57

T4

Answer 57

skin involvement, chest wall fixation, inflammatory PAGETS is NOT T4

Question 58

What are the five contraindications for breast conservation?

Answer 58

``` inflammatory large cancer size relative to breast multicentric disease prior radiation to same breast contraindication to radiation treatment ```

Question 59

Risk of cancer in Type 1 curve

Answer 59

6%

Question 60

Risk of cancer in Type 2 curve

Answer 60

7-28%

Question 61

Risk of cancer in Type 3 Curve

Answer 61

29%+

Question 62

What two tumors are T2 bright?

Answer 62

colloid cancer or mucinous cancer

Question 63

If patient with known breast CA, how often contralateral cancer found by mammo?

Answer 63

0.1-2%

Question 64

If patient with known breast CA, how often contralateral cancer found by MRI?

Answer 64

3-5%

Question 65

At what radiation dose will child later need screening MRI?

Answer 65

20Gy

Question 66

At what age does child with high chest radiation get screening MRI?

Answer 66

age 25 or 8 years post exposure whichever is later

Question 67

What are the four features of Cowden Syndrome?

Answer 67

breast CAn, follicular thyroid cancer, endometrial cancer, lhermitte duclos

Question 68

QC localization and accuracy test performed

Answer 68

daily

Question 69

What is the required resolution of line pairs?

Answer 69

13 in anode cathode direction, 11 in left right direction

Question 70

What must be seen to pass image quality?

Answer 70

4 fibers, 3 microcalc clusters, 3 masses, acceptable artifacts

Question 71

What are the characteristics of the dose phantom?

Answer 71

4.2 cm thick, 50% glandularity, 3 mGy per image

Question 72

Typical patient phantom dose one view, two view?

Answer 72

2 mgy, 4 mgy

Question 73

Typical compressed breast is how thick and what percent glandular?

Answer 73

6cm, 15-20%

Question 74

processor QC

Answer 74

daily

Question 75

darkroom cleanliness

Answer 75

daily

Question 76

viewbox conditions

Answer 76

weekly

Question 77

phantom evaluation

Answer 77

weekly

Question 78

repeat analysis

Answer 78

quarterly

Question 79

compression test

Answer 79

semi annually

Question 80

darkroom fog

Answer 80

semi annually

Question 81

screen film contrast

Answer 81

semi annually

Question 82

How is flaring fixed on mri?

Answer 82

put pad between breast and coil

Question 83

How is heterogeneous fat satting fixed?

Answer 83

shimming