By Gilda Cardenosa MD FACR
Prepared by way of a preeminent breast imaging specialist, this case-based instructing dossier atlas offers a clinically orientated method of screening, diagnostic evaluate, and administration of sufferers with breast stipulations encountered by means of radiologists. Dr. Cardeñosa takes the reader via greater than a hundred and seventy genuine sufferer situations, from vintage "Aunt Minnies" to extra complicated and debatable difficulties in screening, diagnostic overview, and sufferer administration. circumstances are completely illustrated with transparent, sharp images—over 800 photographs total—and comprise a number of imaging stories, pathology reviews, and pathologic correlations the place applicable. Emphasis is on choosing the medical importance of abnormalities or capability abnormalities detected on images.
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Extra info for Clinical Breast Imaging: A Patient Focused Teaching File
A year later, many more coarse calcifications are noted associated with th mixed-density (fat containing) masses (Fig. 8E). The calcification are now more curvilinear in appearance, seemingly outlining a cluster of lucent masses (Fig. 8G). As the calcifications h ve increased, the overall size and associated soft tissue component of some of the masses has decreased. The presence of multiple, bilateral oil c ysts may reflect a histo y of trauma or, as in this patient, reduction mammoplasty. Comparison films, if vailable, will be helpful in estab- lishing a change in overall breast size following the surgery, as well as the development of the oil cysts.
Continued) Craniocaudal (E) views, 1 year following (D). Craniocaudal (F) view, left breast, photographically coned. 8. (Continued) Craniocaudal (G) view, left breast, photographically coned, 1 year following (F). How would you describe the findings? What procedure have both of these patients undergone? A radiolucent mass with mural and inter nal curvilinear calcifica tions is seen in the left breast in F ig. 8A–C. The appearance of some of the internal calcifications suggests the presence of smalle lucent masses within the dominant mass.
If the sur geon is unable to provide reassurance about the location of the wire, a follo w-up mammogram is obtained 6 to 8 weeks following the surgery. 28. Screening study, 88-year-old woman. Craniocaudal (A) and mediolateral oblique (B) views, photographically coned views, right breast. Craniocaudal (C) and mediolateral oblique (D) views, photographically coned, right breast, screening study 8 years prior to (A) and (B). qxd 26/9/06 1:30 PM Page 51 PMAC-217 PMAC-217:BOOKS:GRBQ JOBS:GRBQ187_Cardenosa_Revised:Chapters:CH01: TechBooks [PP Clinical Breast Imaging: A Patient Focused Teaching File What do you think, and what are the possible explanations?