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Atlas of breast cancer early detection

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Case number:053
Age:54
Clinical presentation:Postmenopausal woman with average risk of developing breast cancer presented for mammography screening. Examination revealed bilateral breast nodularity.


Mammography:


Breast composition:ACR category d (the breasts are extremely dense, which lowers the sensitivity of mammography)
Mammography features:

 ‣ Location of the lesion:None
 ‣ Mass:
   • Number:0
   • Size:None
   • Shape:None
   • Margins:None
   • Density:None
 ‣ Calcifications:
   • Typically benign:None
   • Suspicious:None
   • Distribution:None
 ‣ Architectural distortion:None
 ‣ Asymmetry:None
 ‣ Intramammary node:None
 ‣ Skin lesion:None
 ‣ Solitary dilated duct:None
 ‣ Associated features:None

Ultrasound:


Ultrasound features: Both breasts, no obvious abnormality

 ‣ Mass
   • Location:Both breasts, no obvious abnormality
   • Number:0
   • Size:None
   • Shape:None
   • Orientation:None
   • Margins:None
   • Echo pattern:None
   • Posterior features:No posterior features
 ‣ Calcifications:None
 ‣ Associated features:None
 ‣ Special cases:None

BI-RADS:

BI-RADS Category: 1 (negative)

Case summary:

Postmenopausal woman presented with bilateral breast nodularity. Diagnosed as BI-RADS 1 on imaging.

Learning points:


  • Extremely dense breast parenchyma on mammography limits the sensitivity of the study. Supplementary ultrasound of the breast is performed to look for additional findings.

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