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Diagnostic Imaging

Breast Imaging Review: A Quick Guide to Essential Diagnoses by Biren A. Shah

By Biren A. Shah

This ebook presents a concise overview of crucial radiology findings for examining multimodality photos of the breast. It comprises over ninety situations that current sufferer heritage, radiologic findings, universal diagnoses, and dialogue issues, followed by way of over 360 fine quality electronic photographs derived from mammography, ultrasound, MRI, and puppy modalities. It additionally provides concise pearls masking the fundamentals of interventional breast strategies; high-yield proof very important to the perform of breast imaging; and a short connection with the 5th version of the yankee university of Radiology Breast Imaging-Reporting and information approach (BI-RADS) Atlas for mammography, ultrasound, and breast MRI. Breast Imaging assessment: a short advisor to crucial Diagnoses, 2nd Edition, is a precious source for radiology citizens getting ready to take the middle and certifying checks in addition to for fellows and training radiologists drawn to reviewing the fundamentals of breast imaging interpretation and interventional procedures.

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Some causes of gynecomastia include: – Idiopathic – Drugs: marijuana, thiazides, reserpines, cardiac glycosides, and cimetidine – Testicular tumors: embryonal cell carcinoma, seminoma, and choriocarcinoma – Klinefelter’s disease – Chronic hepatic disease – Exogenous estrogen administration BI-RADS ASSESSMENT REFERENCES BI-RADS 2. Benign finding (following diagnostic workup). DIAGNOSIS Gynecomastia DISCUSSION • Gynecomastia is characterized by hyperplasia of ductal and stromal elements of the male breast.

1 Fibroadenoma 35 a b 36 CASE 14 PAGET’S DISEASE 1 Mammography and Ultrasound Review DISCUSSION BI-RADS ASSESSMENT • Paget’s disease is an extension of carcinoma to the epidermal layers of the nipple. • Often associated with an underlying DCIS and less commonly with IDC. • Clinically, Paget’s disease presents as scaling, erosions, erythema, or eczematous reaction of the nipple. • Mammogram can often be negative; however, calcifications or a mass associated with an underlying DCIS or IDC can be seen.

Fig. 2 Grayscale (a) transverse and (b) sagittal ultrasound images show an irregular hypoechoic mass surrounded by a hyperechoic rim. Fig. 3 Color Doppler ultrasound image shows vascular flow within the mass. BI-RADS ASSESSMENT BI-RADS 5. Highly suggestive of malignancy (following diagnostic workup, prior to biopsy). 2 % of all breast carcinomas. • Diagnosis of primary breast lymphoma is reserved for patients with no evidence of systemic lymphoma. • More commonly lymphoma occurs in the breast due to metastasis of extramammary lymphoma.

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