Case number: | 157 |
Age: | 62 |
Clinical presentation: | Postmenopausal woman with average risk of developing breast cancer presented with a hard palpable lump in the inner quadrant of the left breast. |
Breast composition: | ACR category a (the breasts are almost entirely fatty) | Mammography features: |
‣ Location of the lesion: | Left breast, lower inner quadrant at 8 o’clock, anterior and middle thirds |
‣ Mass: | |
• Number: | 1 |
• Size: | 1.6 cm in greatest dimension |
• Shape: | None |
• Margins: | None |
• Density: | None |
‣ Calcifications: | |
• Typically benign: | Popcorn-like |
• Suspicious: | None |
• Distribution: | Within mass |
‣ Architectural distortion: | None |
‣ Asymmetry: | None |
‣ Intramammary node: | None |
‣ Skin lesion: | None |
‣ Solitary dilated duct: | None |
‣ Associated features: | Calcifications |
Breast composition: | ACR category a (the breasts are almost entirely fatty) | Mammography features: |
‣ Location of the lesion: | Left breast, inner quadrants at 9 o’clock, middle third |
‣ Mass: | |
• Number: | 1 |
• Size: | 0.9 cm in greatest dimension |
• Shape: | Oval |
• Margins: | Circumscribed |
• Density: | Equal |
‣ Calcifications: | |
• Typically benign: | Macrocalcifications |
• Suspicious: | None |
• Distribution: | Within mass |
‣ Architectural distortion: | None |
‣ Asymmetry: | None |
‣ Intramammary node: | None |
‣ Skin lesion: | None |
‣ Solitary dilated duct: | None |
‣ Associated features: | Calcifications |
Breast composition: | ACR category a (the breasts are almost entirely fatty) | Mammography features: |
‣ Location of the lesion: | Right breast, lower inner quadrant at 5 o’clock, posterior third |
‣ Mass: | |
• Number: | 1 |
• Size: | 0.6 cm in greatest dimension |
• Shape: | Oval |
• Margins: | Circumscribed |
• Density: | Equal |
‣ Calcifications: | |
• Typically benign: | Coarse |
• Suspicious: | None |
• Distribution: | None |
‣ Architectural distortion: | None |
‣ Asymmetry: | None |
‣ Intramammary node: | None |
‣ Skin lesion: | None |
‣ Solitary dilated duct: | None |
‣ Associated features: | Calcifications |
Ultrasound features: Left breast, lower inner quadrant at 9 o'clock | |
‣ Mass | |
• Location: | Left breast, lower inner quadrant at 9 o'clock |
• Number: | 1 |
• Size: | 1.6 cm in greatest dimension |
• Shape: | Oval |
• Orientation: | Parallel |
• Margins: | Circumscribed |
• Echo pattern: | Hypoechoic |
• Posterior features: | Strong posterior shadowing |
‣ Calcifications: | Present |
‣ Associated features: | None |
‣ Special cases: | None |
Ultrasound features: Left breast, inner quadrants at 8 o'clock | |
‣ Mass | |
• Location: | Left breast, inner quadrants at 8 o'clock |
• Number: | 1 |
• Size: | 0.9 cm in greatest dimension |
• Shape: | Oval |
• Orientation: | Parallel |
• Margins: | Circumscribed |
• Echo pattern: | Hypoechoic |
• Posterior features: | Posterior shadowing |
‣ Calcifications: | Present in mass |
‣ Associated features: | None |
‣ Special cases: | None |
Postmenopausal woman presented with a hard lump in the left breast. Diagnosed as involuting (partially calcified) fibroadenomas, BI-RADS 2 on imaging. |
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