UHrad.com Breast Imaging Teaching Files
UHrad.com is the website for Diagnostic Imaging and Radiology of Case Western Reserve University, University Hospitals of Cleveland, and the Rainbow Babies & Children's Hospital. The site contains numerous radiology teaching files, including numerous breast imaging cases. http://www.uhrad.com/mamarc.htm.
Breast Mass: Standard cranio-caudal and
medio-lateral oblique mammographic images demonstrate marked breast atrophy, more notable
on the left side.
Ductal Adenocarcinoma of the Breast:
50-year-old white female, placed on hormone therapy. Question of left breast fullness,
with two palpable left axillary lymph nodes. Only a simple cyst seen on mammography -
confirmed by ultrasound. However, MR showed enhancing focal mass with additional diffuse
infiltration in a patient with negative mammogram.
Ductal Carcinoma In Situ (DCIS), Comedo
Subtype: In the superolateral aspect of the right breast, there is a 3 x 3 cm area of
extensive branching pleomorphic calcifications. Additional benign dystrophic and vascular
calcifications are also present.
Ductal Carcinoma In Situ: The mammogram
demonstrates multiple minute pleomorphic calcifications scattered throughout the left
breast, predominantly in the central inferior aspect. The findings are highly suspicious
Extravasated Silicone: The right
mammogram demonstrates a subpectoral silicone implant. There is an extensive amount of
high density material in the axilla consistent with globules of extravasated silicone.
Granular Cell Tumor of the Breast:
47-year-old female with palpable mass in the left breast x three months. Mammogram showed
spiculated mass identified in the upper outer quadrant of the left breast with associated
architectural distortion corresponding to palpable abnormality. Pathology showed granular
cell tumor of the breast.
Hamartoma of the Breast: The left
breast is enlarged secondary to an enormous mass of mixed density, displacing normal
breast parenchyma to the superolateral aspect of the breast.
Infiltrating Ductal Carcinoma: The
mammogram demonstrates a 1.5 cm. rounded mass with spiculated margins and a small
"comet tail" in the central inferior aspect of the right breast. No associated
calcifications are seen.
Infiltrating Ductal Carcinoma of the
Breast: Retrospectively, a dominant mass with spiculation can be recognized on the study
of 6/26/91, with gradual increase in size and density. Although the mammogram of 5/16/94
was incorrectly read as no evidence of malignancy, the new palpability of the lesion
should have prompted biopsy.
Inflammatory Carcinoma: A biopsy of
this woman's right breast following the 8-21-95 mammogram revealed invasive ductal
carcinoma, inflammatory type. Dermal lymphatic invasion was prominent.
Intracystic Papillary Carcinoma: The
mammogram shows a 3 x 2.5 cm lobulated, circumscribed mass in the right breast. The
breasts are otherwise mostly fat replaced. To ensure that the radiographic finding
corresponded to the palpable abnormality, a metallic BB was placed in the region of
Lipoma: In the central inferior aspect
of the left breast, there is a 10.5 x 11.0 cm fatty mass partially circumscribed by a thin
capsule. Three calcifications of fat necrosis are associated with it. The mass displaces
the adjacent parenchyma superiorly and laterally.
Medullary Carcinoma: Bilateral
mammograms obtained show a 1.7 cm lobulated mass in the superior aspect of the left breast
on the MLO view only.
Microlobulated Ductal Carcinoma In
Situ: There is in the central and slightly superior aspect of the left breast a 1.5 cm
mass that correlates with a clinically palpable finding. The margins are microlobulated
suggesting a high suspicion for malignancy. There are no associated microcalcifications.
Multifocal Ductal Carcinoma of the
Breast: Multifocal ductal carcinoma in situ, micropapillary and cribriform types - low
grade. Focal lobular carcinoma in situ. Fibrocystic disease with atypical ductal
epithelial hyperplasia and papillomatosis.
Radial Scar: In the superolateral
aspect of the right breast, there is a 3 cm area of architectural distortion with
peripheral spiculation and central lucency. There are no suspicious calcifications
associated with it. The finding is optimally visualized on the craniocaudal and true
Radial Sclerosing Lesion: A small
irregular density with subtle architectural distortion is present on the craniocaudal view
in the medial left breast. A diagnostic mammogram (repeat views with spot magnification)
confirms the presence of a 7 x 5 mm irregular mass with architectural distortion in the
inner central left breast.
Sclerosing Adenosis: An excisional
breast biopsy revealed sclerosing adenosis, with florid ductal hyperplasia. No malignancy
Update: September 24, 2007