Mammograms and Ultrasound Flashcards
what does CC view mean?
cranial-caudal mammogram
what does MLO view mean?
medial lateral oblique mammogram
what can you see in a CC view mammogram?
Can see lateral and medial aspects of the breast. Imagine you are looking down on top of the breast in a birds eye view manner
what can you see in a MLO view mammogram?
you can see superior and inferior aspects of the breast, as well as the axilla and pec major muscle. Imagine you are looking side on to the breast
why might we see reduced fibrous connective tissue in the breast
- increased age–> fatty replacement
- removal of breast tissue
- mass lesion
How do we localise the lesion to a quadrant?
write it in terms of o’clock and cm away from the nipple
what are the 4 quadrants of the breast-
upper outer, upper inner, lower outer, lower inner
what might a ovoid anechoic shape on U/s indicate?
cyst
what might a hypo echoic mottled oval shape on the U/S indicate?
fibroadenoma
what might a breast carcinoma look like on U/S?
margin of echogenicity, irregularly shaped, inner hypogenecity, posterior shadowing
how would we insert a needle for biopsy into the breast?
from below the breast, parallel to the chest wall
what might bright focal lesions on a mammogram suggest?
calcification
if you saw a popcorn appearance of coarse calcification lesions on a mammogram, what would you think?
fibroadenoma
if you saw micro calcification lesions- what would you think?
Ductal carcinoma in situ
what might indicate malignancy on the mammogram?
microcalcification lesions and stellate appearance that is irregularly shaped