WlwG Breast

Question 1

Sus or benign: Segmental calcs

Answer 1

Suspicious
(“Be SusPiCious” = branching, segmental, pleomorphic, coarse”)

Question 2

Sus or benign: Branching calcs

Answer 2

Suspicious (DCIS)
(“Be SusPiCious” = branching, segmental, pleomorphic, coarse”)

Question 3

Sus or benign: Grouped calcs

Answer 3

Suspicious
(“Be SusPiCious” = branching, segmental, pleomorphic, coarse”)

Question 4

Sus or benign: Coarse heterogeneous calcs

Answer 4

Suspicious (fibroadenoma or papilloma)
(“Be SusPiCious” = branching, segmental, pleomorphic, coarse”)

Question 5

Sus or benign: Fine pleomorphic calcs

Answer 5

Suspicious (DCIS/IDC)
(“Be SusPiCious” = branching, segmental, pleomorphic, coarse”)

Question 6

Sus or benign: Scattered distribution calcs

Answer 6

Benign (Fibrocystic change)

Question 7

Sus or benign: Near skin/dermal calcs

Answer 7

Benign

Question 8

Sus or benign: Linear calcs

Answer 8

Benign (vascular)

Question 9

Sus or benign: Semi-circular calcs

Answer 9

Benign (milk of calcium)

Question 10

Sus or benign: Popcorn calcs

Answer 10

Benign (fibroadenoma)

Question 11

Archi distortion with calcs dx?

Answer 11

IDC

Question 12

Archi distortion without calcs dx?

Answer 12

ILC

Question 13

Dilated ducts less than 2cm length dx?

Answer 13

Suspicious (papilloma)

Question 14

Dilated ducts more than 2cm length dx?

Answer 14

Benign (ductal ectasia)

Question 15

Nipple discharge Dx: Milky

Answer 15

Endocrine (thyroid/pit prolactinoma)

Question 16

Nipple discharge Dx: Non-milky pre-menopause

Answer 16

Fibrocystic change

Question 17

Nipple discharge Dx: Non-milky post-menopause

Answer 17

Ductal ectasia

Question 18

Nipple discharge Dx: Bloody

Answer 18

Papilloma

Question 19

Nipple discharge Dx: Cheesy pus

Answer 19

DCIS

Question 20

Birads management: 0

Answer 20

Repeat as inadequate scan

Question 21

Birads management: 1

Answer 21

Normal breast

Question 22

Birads management: 2

Answer 22

Completely benign findings (eg fatty/cyst)

Question 23

Birads management: 3

Answer 23

2 years of follow up (fibroadenoma, 6 12 24 months)

Question 24

Birads management: 4

Answer 24

Biopsy (indeterminate)

Question 25

Birads management: 5

Answer 25

Biopsy (cancer)

Question 26

Breast cancer stages 0 to 4 classification?

Answer 26

0 (DCIS), 1 (<2cm), 2 (2-5cm or axillary LN), 3 (>5cm or matted axillary LN), 4 (mets)

Question 27

Heterogeneous calcs with cheesy pus dx

Answer 27

DCIS

Question 28

Pleomorphic calcs with spiculated mass dx

Answer 28

IDC

Question 29

Male breast cancer dx

Answer 29

IDC

Question 30

Archi distortion without central mass dx

Answer 30

ILC

Question 31

Bilateral breast cancer dx

Answer 31

ILC

Question 32

Inflammed but painless breast dx

Answer 32

Inflammatory breast cancer

Question 33

Breast mass, no calcs, US posterior enhancement instead of shadowing dx

Answer 33

Medullary cancer

Question 34

Sub-areolar mass, calcifications dx

Answer 34

Papilloma

Question 35

Slow growing mass with tubule formation dx

Answer 35

Tubular carcinoma

Question 36

Nipple eczema with discharge dx

Answer 36

Pagets

Question 37

Hyperdense mass in breast dx

Answer 37

DLBCL/Non-hodgkins lymphoma of breast

Question 38

Fatty breast mass without calcs dx

Answer 38

Lipoma

Question 39

Fatty breast mass with egg-shell calcs dx

Answer 39

Oil cyst/fat necrosis post trauma

Question 40

Heterogeneous fatty breast mass, well defined dx

Answer 40

Hamartoma

Question 41

Fat-fluid level cyst in breast dx

Answer 41

Galactocele

Question 42

Non-fatty well-defined mass with surrounding halo +/- popcorn calcs dx

Answer 42

Fibroadenoma

Question 43

Hypoechoic, T1-hypo, T2-hyper, enhancing well-defined mass dx

Answer 43

Fibroadenoma

Question 44

Encapsulated mass in 40-50 year old dx

Answer 44

Phyllodes

Question 45

Dilated sub-areolar ducts with calcs, nipple discharge dx

Answer 45

Ductal ectasia

Question 46

Inflammed breast with pain dx

Answer 46

Mastitis (staph infn during lactation in smoker/DM)

Question 47

US Breast: Cyst vs Fibroadenoma vs Cancer

Answer 47

Echoic: Cyst anechoic, FA/cancer hypoechoic Shape: Cyst/FA round, cancer irregular Enhancement: Cyst/FA posterior enhancement, cancer posterior SHADOWING Calcs: Cyst no calcs, FA gross calcs, Cancer +/- small calcs