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Radiology
Imaging the Diagnostic Patient
Built from Fundamentals of Diagnostic Radiology
What’s inside
6 sections · 82 slides
Overview
- Diagnostic breast imaging
- Screening versus diagnostic examination
Diagnostic mammography
Targeted mammographic views and ultrasound to characterize a finding
- Indications for diagnostic mammography
- Diagnostic mammography views
- Spot compression views
- Why spot compression separates tissue from tumor
- Magnification views
- Assessing calcifications
- Skin calcifications on tangential view
- Milk of calcium in breast cysts
- Suspicious pleomorphic calcifications
- True lateral and rolled CC views
- Reading true lateral and rolled CC views
- Tomosynthesis in the diagnostic setting
- Tomosynthesis in the diagnostic examination
- Ultrasound: how it works and its strengths
- Ultrasound: limitations and what it resolves
- Simple cyst on ultrasound
- Fibroadenoma on ultrasound
- Benign and suspicious ultrasound findings
The symptomatic patient
Tailoring the imaging workup to each symptom, age, and risk
- How the workup is tailored
- Palpable breast mass
- Initial imaging for a palpable breast mass
- Initial imaging for a palpable mass by age
- Mammographic evaluation of a palpable mass
- Workup of a palpable breast mass
- Ultrasound and combined negative results
- Breast pain (mastalgia)
- Cyclic versus noncyclic breast pain
- Cancer risk in breast pain
- Imaging role and age cut-offs in breast pain
- Nipple discharge overview
- Pathologic versus physiologic nipple discharge
- Initial imaging for pathologic nipple discharge
- Imaging pathologic nipple discharge
- Workup of pathologic left nipple discharge
- Mastitis and breast abscess
- Breast abscess on ultrasound
- Inflammatory breast cancer (IBC)
- Inflammatory breast carcinoma
- Imaging and behavior of inflammatory breast cancer
- Paget disease of the nipple
- Normal versus pathologic axillary nodes
- Differential diagnosis of axillary adenopathy
- Causes of axillary adenopathy
- Axillary lymphadenopathy in lymphoma
- Ultrasound of axillary nodes
- Normal and metastatic axillary lymph nodes
- The normal male breast and gynecomastia
- Etiologies of gynecomastia
- Normal male breast
- Gynecomastia on mammography
- Initial imaging for a palpable male breast mass
- Gynecomastia on mammography
- Male breast cancer
- Male breast cancer
Assessment and recommendation
Assigning a final BI-RADS category to guide management
- The role of the final assessment
- BI-RADS assessments and recommendations
- BI-RADS categories at a glance
- BI-RADS 0 and 1-2
- BI-RADS 3: probably benign
- Findings appropriate for BI-RADS 3 assessment
- BI-RADS 4 and 5
Breast cancer staging
Tumor, node, and metastasis: the radiologist's role in TNM
- The TNM staging system
- The three parts of TNM
- T stage: tumor size and extent
- Multifocal carcinoma
- N stage: axillary nodes
- M stage: distant metastasis
Postoperative surveillance
Following the treated breast for scar, edema, and recurrence
- Recurrence and follow-up after treatment
- Surveillance after breast conservation
- Imaging the postoperative breast
- Postoperative scar
- Signs of local recurrence
- Local recurrence
- Takeaways
- Suggested readings
- Suggested readings
- Suggested readings
- Suggested readings
- Suggested readings
- Brant and Helms' Fundamentals of Diagnostic Radiology