Asymmetric density breast nodules hypoechoic well circumscribed

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The fear this sentence creates is real, but can be quieted by facts. Most abnormalities on a mammogram are NOT breast cancer. During a screening mammogram, the breast is X-rayed in two different positions: from top to bottom and from side to side.

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Annual screening with MRI and mammography beginning at age 30 for high-risk women is felt to be effective. Although breast cancer is relatively common and remains the second leading cause of death in women, the majority of findings discovered on imaging which undergo percutaneous biopsy are benign. Furthermore, when there is radiology-pathology discordance following image-guided biopsy, surgical excision is subsequently performed.

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An experienced radiologist is highly tuned to the appearance of breast abnormalities in diagnostic imaging. This is why, most of the time, the radiologist has a pretty good idea whether a suspicious abnormality is likely to be malignant or not. Oh oh.

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Hyperechogenicity is a sign classically reported to be in favour of a benign lesion and can be observed in many types of benign breast lesions such as hamartoma, lipoma, angiolipoma, haemangioma, haematoma, fat necrosis, fibrosis and galactocele, among others. However, some rare malignant breast lesions can also present a hyperechoic appearance. Most of these hyperechoic malignant lesions present other characteristics that are more typically suggestive of malignancy such as posterior shadowing, a more vertical axis or irregular margins that help to guide the diagnosis.

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Introduction: Breast USG is an established and accurate tool for the primary evaluation of breast lumps and pathology. It also compliments X-ray mammography in further evaluation and characterization of breast masses and thus avoids surgeries in benign breast diseases and pathology. Method: For USG examination of the breast lumps, a linear-array transducer of MHz frequency is required with a good resolution machine.

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Benign and malignant characteristics of breast lesions at ultrasound allow the classification as either malignant, intermediate or benign based on work published by Stavros et al. In all cases of lesions other than those which are absolutely benign, real time review by the radiologist is mandatory. Review of the mammogram is essential when interpretation of an ultrasound is performed.

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It also facilitates outcome monitoring and quality assessment. It contains a lexicon for standardized terminology descriptors for mammography, breast US and MRI, as well as chapters on Report Organization and Guidance Chapters for use in daily practice. The table shows a summary of the mammography and ultrasound lexicon.

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What could this mean? Is there any official endorsement that 3D mammograms are best for extremely dense breasts? I had a benign left breast biopsy

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USG of the breast is now an established modality. It is used in the characterisation of focal breast lesions as well as in the primary evaluation of mammographically dense breasts. It helps guide biopsies as well.

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Benign mastitis is a rare disease and its management is difficult. The diagnostic challenge is to distinguish it from carcinomatous mastitis. We make a distinction between acute mastitis secondary to an infection, to inflammation around a benign structure or to superficial thrombophlebitis, and chronic, principally plasma cell and idiopathic granulomatous mastitis.

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