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03 Mammography
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05/01/2023
Breast Imaging: MammographyMammography has decreased sensitivity in women with {{c1::dense}} breasts.
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05/01/2023
Breast Imaging: MammographyMammagrophy screening guidelines: American College of Radiology (ACR): {{c1::age 40+ annually }}Society of Breast…
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05/01/2023
Breast Imaging: MammographyMammographic screening has a very small risk of inducing {{c1::breast cancer}} from radiation exposure.
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05/01/2023
Breast Imaging: MammographyComputer modeling of breast cancer screening also showed that the greatest reduction in breast cancer specific mortality is…
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05/01/2023
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Breast Imaging: MammographyThe cranio-caudal (CC) image plane is {{c1::transaxial}}.
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05/01/2023
Breast Imaging: MammographyThe medial-lateral-oblique (MLO) image plane is approximately {{c1::45–60}} degrees from the axial plane, paralleling the c…
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05/01/2023
Breast Imaging: MammographyWhat view is the most ideal for screening as it captures most of the breast tissue in a single view?{{c1::medial-lateral-ob…
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05/01/2023
Breast Imaging: MammographyWhat part of the breast may not be seen on MLO view?{{c1::superior-medial breast tissue}}
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05/01/2023
Breast Imaging: MammographyWhat additional mammography view images the medial breast tissue of both breasts? {{c1::Cleavage view (CV)}}
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05/01/2023
Breast Imaging: MammographyWhat additional mammography view pulls either lateral or medial tissue into the imaging detector?{{c1::exaggerated cranio-c…
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05/01/2023
Breast Imaging: MammographyTypically, most screening mammography is interpreted {{c1::offline::online/offline}}, where a batch of exams is reviewed in…
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05/01/2023
Breast Imaging: MammographyFlaws to online screening mammography:{{c1::more imaging being performed}}{{c2::more false-positives}}
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05/01/2023
Breast Imaging: MammographyAll diagnostic mammography is performed {{c1::online::online/offline}}.
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05/01/2023
Breast Imaging: MammographyA mammogram is techinically adequate if it contains adequate tissue on both {{c1::Craniocaudal}} and {{c1::medial-late…
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05/01/2023
Breast Imaging: MammographyWhat determines adequate tissue imaged on a mammogram?{{c1::Posterior nipple lines}} on CC and MLO views are {{c1::within 1…
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05/01/2023
Breast Imaging: MammographyWhat mistakes may occur if blur is present on a mammogram?{{c1::benign calcifications mistaken for suspicious amorphous cal…
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05/01/2023
Breast Imaging: MammographyIn a technically adequate mammogram, what part of each breast should be in profile in at least one view? {{c1::nipple}…
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05/01/2023
Breast Imaging: MammographyA general approach to interpreting a mammogram:{{c1::Evaluate imaging quality and adequacy}} {{c2::Compare each side f…
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05/01/2023
Breast Imaging: MammographyMammographic signs of malignancy:{{c1::mass}}{{c2::calcification }}{{c3::architural distortion}} {{c4::asymmetry&…
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05/01/2023
Breast Imaging: MammographyCalfications are best viewed at what magnification?{{c1::1:1 or higher}}
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05/01/2023
Breast Imaging: MammographyArchitectural distortion is best seen on what magnification?{{c1::When whole breast is visualized}}
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05/01/2023
Breast Imaging: MammographyIn general, it is best to carefully compare the previous exam from at least {{c1::two}} years prior, to appreciate slowly g…
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05/01/2023
Breast Imaging: MammographyDescriptors for fibroglandular densities on mammogram: {{c1::almost entirely fatty }}{{c2::scattered areas of fib…
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05/01/2023
Breast Imaging: MammographyWomen with {{c2::dense}} fibroglandular tissue have an {{c1::increased::increased/decreased}} risk of developing breast can…
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05/01/2023
Breast Imaging: MammographyBilateral interval increase in fibroglandular density is usually {{c1::benign}} and may be caused either by {{c2::hormonal …
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05/01/2023
Breast Imaging: MammographyA unilateral increase in fibroglandular density is worrisome for {{c1::lymphatic obstruction}}, which may be malignant.
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05/01/2023
Breast Imaging: MammographyOn mammography, edema due to systemic causes, such as congestive heart failure, typically causes bilateral {{c1::trabecular…
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05/01/2023
Breast Imaging: MammographyHormone therapy may cause an {{c1::increase::increase/decrease}} in fibroglandular density, {{c1::without::with/without}} s…
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05/01/2023
Breast Imaging: MammographyCan cysts and fibrocystic change following hormone therapy by seen in postmenopausal women?{{c1::yes}}
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05/01/2023
Breast Imaging: MammographyBenign causes of interval increases in fibroglandular density:{{c1::pregnancy}}{{c2::lactation }}{{c3::weight los…
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Breast Imaging: MammographyFibroglandular density: {{c1::almost entirely fatty}}
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Breast Imaging: MammographyFibroglandular density: {{c1::Scattered areas of fibroglandular density}}
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05/01/2023
Breast Imaging: MammographyFibroglandular density: {{c1::heterogeneously dense }}
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05/01/2023
Breast Imaging: MammographyFibroglandular density: {{c1::extremely dense }}
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05/01/2023
Breast Imaging: MammographySkin thickening: unilateral → {{c1::benign or malignant }}bilateral → {{c2::usually benign }}
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05/01/2023
Breast Imaging: MammographySkin thickening: Benign causes• {{c1::Radiation}} therapy (usually unilateral).• Acute {{c2::mastitis}} (usually unilateral…
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05/01/2023
Breast Imaging: MammographySkin thickening: Malignant causes{{c1::Inflammatory carcinoma}}{{c2::Locally advanced carcinoma.}}{{c3::Lymphatic obstructi…
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05/01/2023
Breast Imaging: MammographyNumber of views needed to call a: Mass → {{c1::two different projections}} Asymmetry → {{c2::one view only}}
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05/01/2023
Breast Imaging: MammographyThe five BI-RADS terms used to describe margins: {{c1::circumscribed }}{{c2::microlobulated}}{{c3::obscured …
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05/01/2023
Breast Imaging: MammographyEvaluate the margins, using BI-RADS lexicon: {{c1::circumscribed }}
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Breast Imaging: MammographyEvaluate the margins, using BI-RADS lexicon: {{c1::microlobulated }}
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Breast Imaging: MammographyEvaluate the margins, using BI-RADS lexicon: {{c1::obscured}}
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Breast Imaging: MammographyEvaluate the margins, using BI-RADS lexicon: {{c1::indistinct}}
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Breast Imaging: MammographyEvaluate the margins, using BI-RADS lexicon: {{c1::spiculated}}
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05/01/2023
Breast Imaging: MammographyCircumscribed margin: At least {{c1::75%}} of the margin must be well-defined, while the remainder may be obscured with ove…
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05/01/2023
Breast Imaging: MammographyIn gneral, unless a mass is new, a circumscribed mass is {{c1::benign}}.
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05/01/2023
Breast Imaging: MammographyA microlobulated mass has a {{c1::finely irrefular or serrated}} edge.
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05/01/2023
Breast Imaging: MammographyA margin is obscured if it is greater than {{c1::25}}% hidden by superimposed or adjacent normal tissue.
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05/01/2023
Breast Imaging: MammographyIndistinct margins mean: {{c1::poorly defined}} → concern for infiltration.
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05/01/2023
Breast Imaging: MammographySpiculated margins mean: {{c1::linear densities radiate from a mass}}.
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05/01/2023
Breast Imaging: MammographyMost breast cancers that form a visible mass are of {{c1::equal or higher::comparison}} density than the surrounding fibrog…
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05/01/2023
Breast Imaging: MammographyA circumscribed fat-containing mass is {{c1::benign::benign/malignant}}.
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05/01/2023
Breast Imaging: MammographyBI-RADS lexicon for density:{{c1::fat-containing}}{{c2::low density}}{{c3::equal density}}{{c4::high density}}
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Breast Imaging: MammographyDescribe the density: {{c1::fat-containing}}
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Breast Imaging: MammographyDescribe the density: {{c1::low density}}
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Breast Imaging: MammographyDescribe the density: {{c1::equal density}}
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Breast Imaging: MammographyDescribe the density: {{c1::high density}}
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Breast Imaging: MammographyBI-RADS lexicon for shape:{{c1::round }}{{c2::oval }}{{c3::irregular}}
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05/01/2023
Breast Imaging: MammographyAn oval shaped mas may include up to {{c1::two to three}} smooth lobulations.
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Breast Imaging: MammographyDescribe the shape: {{c1::round }}
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Breast Imaging: MammographyDescribe the shape: {{c1::oval}}
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Breast Imaging: MammographyDescribe the shape: {{c1::irregular }}
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Breast Imaging: MammographyThe four quadrants of each breast are: {{c1::upper outer, upper inner, lower outer, and lower inner.}}
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05/01/2023
Breast Imaging: MammographyWhen referring to the opposite breast, the {{c1::mirror opposite}} quadrant is the contralateral quadrant with the same nam…
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05/01/2023
Breast Imaging: MammographyIf {{c1::subareolar}} or {{c2::axillary}} tail are used to localize a lesion, then it is not necessary to specify a quadran…
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05/01/2023
Breast Imaging: MammographyDepth is commonly described as {{c1::anterior (or shallow)}}, {{c1::middle}}, or {{c1::posterior}} depth, separating the br…
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05/01/2023
Breast Imaging: MammographyWhat phenomenon on mammography represents radiating linear densities emanating from a central point, without a definite mas…
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05/01/2023
Breast Imaging: MammographyArchitectural distortion is caused by tethering of {{c1::the normal fibroglandular}} tissue and is highly concerning f…
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05/01/2023
Breast Imaging: MammographyMicrocalcifications may be associated with {{c1::malignant ductal}} calcification.
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05/01/2023
Breast Imaging: MammographySkin retraction is most commonly {{c1::postsurgical}} but may be due to a desmoplastic tumor.
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05/01/2023
Breast Imaging: MammographyWhat is described by tethering or angulation of the nipple?{{c1::nipple retraction}}
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05/01/2023
Breast Imaging: MammographyWhat describes the phenomenon where the whole nipple points inwards?{{c1::inversion}}
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05/01/2023
Breast Imaging: MammographyWhat phenomenon may represent edema or may be secondary to prior radiation therapy?{{c1::skin thickening or trabecular thic…
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05/01/2023
Breast Imaging: MammographyTrabecular thickening represents thickening of the {{c1::fibrous septa}} of the breast, which can be seen in edema or in pa…
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05/01/2023
Breast Imaging: MammographyAxillary lymph nodes with replacement of the normal {{c1::fatty hilum}} may warrant evaluation, especially if new.
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05/01/2023
Breast Imaging: MammographyLeft image: {{c1::CC view::view}}, {{c1::oval mass::shape}}, {{c1::partially obscured margins::margins}}, {{c1::lower inner…
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05/01/2023
Breast Imaging: MammographyMost mammograms will show calcifications, which are overwhelmingly likely to be {{c1::benign}}.
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05/01/2023
Breast Imaging: MammographyWhat finding may be the earliest and possible the only mammographic manisfestation of cancer?{{c1::abnormal calcifications}…
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05/01/2023
Breast Imaging: MammographyWhat general descriptors (2) are essential when characterizing calcifications?{{c1::morphology and distribution}}
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05/01/2023
Breast Imaging: MammographyIt is almost always necessary to perform {{c1::spot compression}} magnification to characterize calcifications as either in…
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05/01/2023
Breast Imaging: MammographyWhat techniques are utilized in magnification mammography to aid in the visualization of microcalcifications that may not b…
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05/01/2023
Breast Imaging: MammographySkin calcifications are associated with {{c1::sweat glands}}, are usually punctate or lucent-centered, and are most common …
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05/01/2023
Breast Imaging: MammographyWhat can a cluster of skin calcifications projecting over the breast be confused for?{{c1::grouped calcifications in the br…
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05/01/2023
Breast Imaging: MammographyWhat should be done if skin calcifications are suspected on mammogram?{{c1::Re-imaging on tangent view with a BB placed dir…
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05/01/2023
Breast Imaging: MammographySkin calcifications should be seen in the {{c1::dermis::layer}} on the tangential view.
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05/01/2023
Breast Imaging: MammographyWhat additional imaging can also help confirm whether or not calcificationslie within the skin?{{c1::Tomographic imaging}}
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05/01/2023
Breast Imaging: MammographyArterial vascular calcifications within the breast have a distinctive morphology and are typically not mentioned in the bod…
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05/01/2023
Breast Imaging: MammographyEarly or incomplete vascular calcifications may pose a potential problem as they may appear similar to {{c1::fine linear}} …
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05/01/2023
Breast Imaging: Mammographyyellow arrow: {{c1::arterial vascular}} calcifications red arrows: {{c2::large rod-like/secretory}} calcifications
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05/01/2023
Breast Imaging: MammographyLarge rod-like calcifications are caused by {{c1::secretory disease (also called plasma cell mastitis)}}, which is a benign…
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05/01/2023
Breast Imaging: MammographyWhat calcifications follow a ductal pattern similar to DCIS and need to be distinguished from fine linear or fine-linear br…
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05/01/2023
Breast Imaging: Mammography“Popcorn-like” calcifications are caused by an involuting or hyalinizing {{c1::fibroadenoma}}.
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Breast Imaging: MammographyIn what pattern does a fibroadenoma calcify?{{c1::Starts peripherally then progresses to "popcorn-like"}}
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Breast Imaging: MammographyHow do the calcifications appear in order for it to be diagnosed with confidence as a benign fibroadenoma?{{c1::popcorn-lik…
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Breast Imaging: MammographyDiagnosis: {{c1::hyalinizing fibroadenoma }}
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05/01/2023
Breast Imaging: MammographyWhat represents free-floating calcium in tiny benign cysts?{{c1::milk of calcium }}
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05/01/2023
Breast Imaging: MammographyWhat is the most important feature of milk of calcium calcifications?The apparent change in {{c1::shape}} between the crani…
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05/01/2023
Breast Imaging: MammographyMilk of calcium calcifications: indistinct, fuzzy, round, amorphous deposits → {{c1::CC view::view}}more defined, semi…
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05/01/2023
Breast Imaging: MammographyCC spot-magnification view (left): {{c1::amorphous calcifications}}Lateral spot-magnification (right): {{c2::layering of ca…
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05/01/2023
Breast Imaging: Mammography{{c1::Suture}} calcifications represent calcium deposited on suture material, usually after radiation therapy.
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05/01/2023
Breast Imaging: MammographyType of calcification: {{c1::suture calcifications}}
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Breast Imaging: Mammography{{c1::Dystrophic}} calcifications may occur as a sequela of surgery, biopsy, trauma, or irradiation.
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05/01/2023
Breast Imaging: MammographyWhat type of calcifications typically appear distinctive, with coarse, irregular shapes often in association with areas of …
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05/01/2023
Breast Imaging: MammographyType of calcification: {{c1::dystrophic calcifications}}
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05/01/2023
Breast Imaging: MammographyWhat type of calcifications are associated with fibrocystic change as well as other etiologies?{{c1::round and punctate cal…
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05/01/2023
Breast Imaging: MammographyThe shape of round calcifications is sometimes due to deposition in the {{c1::small terminal acini}} of breast lobules.
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05/01/2023
Breast Imaging: MammographyWhen diffusely or randomly distributed, round and punctate calcifications are considered {{c1::benign}}.
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05/01/2023
Breast Imaging: MammographyWhen a round calcification is smaller than {{c1::0.5}} mm, the term “punctate” is preferred.
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05/01/2023
Breast Imaging: MammographyAn isolated group of punctate calcifications on a baseline mammogram should be classified as BI-RADS {{c1::3}}.
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05/01/2023
Breast Imaging: MammographyRim calcifications represent calcium deposited on the surface of a sphere, usually occurring in an area of {{c1::fat necros…
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05/01/2023
Breast Imaging: MammographyWhat type of calcifications were described as "lucent centered" or "eggshell" in previous versions of BI-RADS?{{c1::r…
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Breast Imaging: MammographyWhat calcifications are too small or hazy to ascertain their detailed morphologic appearance?{{c1::Amorphous calcifications…
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Breast Imaging: MammographyWhat distribution of amorphous calcifications is usually benign?{{c1::diffuse distribution}}
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Breast Imaging: MammographyWhat distributions of amorphous calcifications are suspicious and warrants biopsy?{{c1::grouped}}, {{c2::linear}}, or …
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Breast Imaging: Mammography{{c1::segmental::diffuse/grouped/regional/linear}} distribution type of calcification: {{c2::amorphous}}
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Breast Imaging: MammographyWhat calcifications are irregular calcifications that are generally larger than 0.5mm, but small er than dystrophic calcifi…
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Breast Imaging: MammographyWhat types of calcifications may appear similar to coarse heterogenous calcifications?{{c1::evolving dystrophic calcificati…
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05/01/2023
Breast Imaging: MammographyType of calcification: {{c1::coarse heterogeneous}}
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Breast Imaging: MammographyFine pleomorphic calcifications vary in shape and size, producing a characteristic {{c1::dot-dash}} appearance.
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05/01/2023
Breast Imaging: MammographyFine pleomorphic calcifications are highly suspicious for malignancy, most commonly seen in {{c1::ductal carcinoma in situ …
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05/01/2023
Breast Imaging: Mammographymammograms: large group of {{c1::fine pleomorphic}} calcificationsultrasound: ill-defined hypoechoic {{c2::mass}} with punc…
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05/01/2023
Breast Imaging: MammographyBranching pattern seen in fine linear or fine-linear branching calcifications suggests filling of the lumen of a duct syste…
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05/01/2023
Breast Imaging: MammographyIf fine linear or fine-linear branching calcifications are seen in a {{c1::segmental}} distribution, BI-RADS 5 is appropria…
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05/01/2023
Breast Imaging: MammographyEven though calcifications may have a typically benign distribution, what other general feature may cause it to represent c…
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05/01/2023
Breast Imaging: MammographyDistribution of calcium: usually benign → {{c1::diffuse}} malignancy less likely → {{c2::regional}} more sus…
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05/01/2023
Breast Imaging: Mammography{{c1::Diffuse}} calcifications are distributed randomly throughout the breast.
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Breast Imaging: MammographyPunctate and amorphous calcifications in a diffuse or scattered distribution are usually benign and often bilateral, typica…
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05/01/2023
Breast Imaging: Mammography{{c1::Regional}} calcifications are distributed in a large area (greater than {{c2::2}} cm in largest dimension) of breast …
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05/01/2023
Breast Imaging: Mammography{{c1::Linear}} calcifications are arrayed in a line.
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Breast Imaging: MammographyLinear distribution of calcifications elevates suspicion for malignancy as this suggests calcium deposits within a {{c1::du…
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05/01/2023
Breast Imaging: MammographyTypically benign large rod-like calcifications are often {{c1::linear}} in distribution.
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05/01/2023
Breast Imaging: MammographyGrouped calcifications are defined as at least {{c1::five}} small calcifications located within {{c2::1}} cm of each other,…
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05/01/2023
Breast Imaging: MammographySegmental calcifications suggest calcium deposited in {{c1::a ductal system}}, which is worrisome.
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05/01/2023
Breast Imaging: MammographyWhen the morphology is clearly {{c1::secretory (rod-like)}}, a segmental distribution can be benign.
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05/01/2023
Breast Imaging: MammographyAn {{c1::asymmetry}} is a region of breast tissue that is prominent on one view only and most commonly represents {{c2::sup…
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05/01/2023
Breast Imaging: MammographyMLO view shows {{c1::asymmetry }}Diagnosis: {{c2::superposition}} of fibroglandular tissue
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05/01/2023
Breast Imaging: Mammography{{c1::Global asymmetry}} is an asymmetric amount or density of breast tissue involving the majority of one breast only.&nbs…
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Breast Imaging: MammographyGlobal asymmetry is most commonely due to {{c1::greater volume of parenchyma}} in one breast compared to the other.
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Breast Imaging: MammographyHow many quadrants must be involved for global asymmetry to occur?{{c1::more than one quadrant}}
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Breast Imaging: MammographyAlthough global asymmetry is usually a normal variant, further workup is warranted when associated with a concerning findin…
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Breast Imaging: MammographyType of asymmetry: {{c1::global asymmetry}}
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05/01/2023
Breast Imaging: MammographyType of assymetry: {{c1::focal asymmetry }}
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05/01/2023
Breast Imaging: MammographyWhat is an abnormality involving less than one quadrant seen on two views but that does not meet the criteria for a mass?{{…
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05/01/2023
Breast Imaging: Mammographydistinct borders and covex contours → {{c1::mass }}concave contous → {{c2::focal asymmetry}}
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05/01/2023
Breast Imaging: MammographyA {{c1::focal}} asymmetry usually represents a prominent area of normal breast tissue, particularly when there is intersper…
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05/01/2023
Breast Imaging: MammographyAfter a complete workup, a nonpalpable focal asymmetry has {{c1::<1}}% chance of being malignant and can be placed in BI…
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05/01/2023
Breast Imaging: MammographyA focal asymmetric lesion can be called benign after {{c1::two to three}} years of stability.
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05/01/2023
Breast Imaging: MammographyWhat is a focal asymmetry that is either now or increased in size?{{c1::a developing asymmetry}}
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05/01/2023
Breast Imaging: MammographyA developing asymmetry is a suspicious finding, shown to represent breast cancer in {{c2::12.8}}% of cases at {{c1::screeni…
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05/01/2023
Breast Imaging: MammographyThe initial step in the workup of a developing asymmetry is to determine if it is a {{c1::true lesion}} or {{c2::summation …
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05/01/2023
Breast Imaging: MammographyWhat is a typical mammographic workup to confirm that the questioned asymmetry persists?{{c1::spot compression views}} and/…
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05/01/2023
Breast Imaging: MammographyAfter diagnostic evaluation confirms that the developing asymmetry is a true lesion that can be localized in three-dimensio…
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05/01/2023
Breast Imaging: MammographyA mass demonstrated sonographically can be targeted for biopsy, and if a benign correlate is seen (e.g., a simple…
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05/01/2023
Breast Imaging: MammographyWhat is required if no sonographic correlate is seen for a true developing asymmetry?{{c1::stereotactic biopsy}}
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05/01/2023
Breast Imaging: MammographyWhat is the risk of cancer for a true developing asymmetry despite the absence of a sonographic abnormality?{{c1::> 2%}}
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05/01/2023
Breast Imaging: MammographyIs biopsy needed if a developing asymmetry is found on mammogram but absent on MRI?{{c1::no}}
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05/01/2023
Breast Imaging: MammographyType of asymmetry: {{c1::developing/ new focal asymmetry}}new study:1 year prior:
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05/01/2023
Breast Imaging: MammographyDifferential for architectural distortion:{{c1::invasive malignancy}}{{c2::complex sclerosing lesion/radial scar}}{{c3::pos…
Published
05/01/2023
Breast Imaging: MammographyWhat describes lines radiating from a central point with no central mass visible, producing tethering and indentation of th…
Published
05/01/2023
Breast Imaging: MammographyDiagnosis: {{c1::architectural distortion}}
Published
05/01/2023
Breast Imaging: Mammography{{c1::Spot compression}} is compression of a focal region of the breast, which allows for better compression and therefore …
Published
05/01/2023
Breast Imaging: MammographyWhat is almost always the next step in evaluating a focal suspicious mammographic abnormality?{{c1::Spot compression}}
Published
05/01/2023
Breast Imaging: MammographyTypically, for evaluation of calcifications, {{c1::spot compression}} magnification is used.
Published
05/01/2023
Breast Imaging: MammographyIs magnification typically needed for the evaluation of a mass or asymmetry?{{c1::no}}
Published
05/01/2023
Breast Imaging: MammographyAreas of architectural distortion appear {{c1::less::more/less}} apparent on magnification views.
Published
05/01/2023
Breast Imaging: MammographyIf an apparent asymmetry “presses out” with focal compression, then the apparent abnormality more likely represents {{c1::s…
Published
05/01/2023
Breast Imaging: MammographyWhat can be done for further assesssment if the abnormality does not significantly change shape when compressed?{{c1::spot …
Published
05/01/2023
Breast Imaging: MammographySmaller compression device:pro → {{c1::more precise }}con → {{c2::losing landmarks}}
Published
05/01/2023
Breast Imaging: MammographyWhat modality compared to full-field digital mammography has the advantage of improved lesion detection and characterizatio…
Published
05/01/2023
Breast Imaging: MammographyWhat view pulls the lateral breast tissue into the detector?{{c1::lateral exaggerated cranio-caudal (XCCL)}}
Published
05/01/2023
Breast Imaging: MammographyWhat view pulls the medial breast tissue into the detector?{{c1::medial exaggerated cranio-caudal (XCCM)}}
Published
05/01/2023
Breast Imaging: Mammography{{c1::Rolled}} views are obtained by moving the top and bottom of the breast in opposite directions.
Published
05/01/2023
Breast Imaging: MammographyWhat views are helpful to localize a lesion that is only seen on the cranio-caudal view?{{c1::Rolled CC views}}
Published
05/01/2023
Breast Imaging: MammographyWhat are the two usual rolled views?{{c1::RCCM (top of breast rolled medially)}}{{c2::RCCL (top of breast rolled laterally)…
Published
05/01/2023
Breast Imaging: MammographyIf a lesion moves medially with an RCCM view, then it’s in the {{c1::superior}} breast.
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