Radiology Notes

My notes during radiology residency, fellowship, and beyond…

Archive for the ‘breast’ Category

Single Well Circumscribed Breast Lesion

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Benign

  • nipple
  • skin lesion
  • cyst
  • inflammatory lymph node
  • fibroadenoma
  • papilloma
  • hamartoma

Malignant

  • Phyllodes tumor
  • mets
  • medulary carcinoma
  • mucoid carcinoma
  • colloid carcinoma
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Written by lmwong

January 30, 2010 at 9:37 am

Multiple Well Circumscribed Breast Lesions

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Benign

  • Skin lesions
  • Inflammatory nodes
  • cysts
  • fibroadenomas

Malignant

  • Mets

Written by lmwong

January 30, 2010 at 9:35 am

Breast Microcalcifications Differential

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Benign

  • Sclerosing adenosis
  • fibrocystic change
  • vascular
  • skin lesion

Malignant

  • DCIS
  • Invasive cancer

Written by lmwong

January 30, 2010 at 9:32 am

Edematous Breast Differential

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Benign

  • breast abscess
  • medical – heart failure
  • fluid overload, etc.
  • radiotherapy
  • recent surgery

Malignant

  • Inflammatory carcinoma

Written by lmwong

January 30, 2010 at 9:30 am

Ultrasound Core Biopsy Dictation

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CLINICAL HISTORY: [x] year old woman referred for ultrasound-guided biopsy of a mass in the [right/left] breast.
The lesion was noted on previous ultrasound performed at [x] on [date]. Recent mammogram performed at [x] on [date] [demostrated/failed to demonstrate] the lesion.

Technique: [x] breast ultrasound guided core biopsy dated [x].

PROCEDURE:
Preliminary ultrasound evaluation of the [right/left] breast with special attention to the area of [sonographic/mammographic/palpable] concern, confirms the presence of a [x] x [x] cm mass at the [x] o’clock position, approximately [x] cm from the nipple, at a depth of [x] cm from the skin.

Following universal protocol, patient and site verification was performed with a “time out” prior to the procedure.
Informed consent was obtained. The patient was positioned in the supine oblique position, and the lesion was localized with real-time sonography. The skin was cleansed with Chloraprep. [x] cc’s of 1% Lidocaine was used for local anesthesia. A [lateral/medial/oblique] approach to the target was used. An 18-gauge needle, secured to a spring-loaded device, was advanced to the preselected target. A total of [x] biopsy specimens were obtained, with pre- and post-fire images documenting needle placement for each pass. Specimens were sent for pathologic analysis, results pending.

Following the procedure, the wound was cleansed and compressed. Steri-strips and sterile gauze were applied and the patient was given post-biopsy instructions. The patient tolerated the procedure well and left the department in good condition.

Dr. [x] was in attendance during the entire procedure.

IMPRESSION

Ultrasound-guided core biopsy of [right/left] breast mass. Pathology pending.

Written by lmwong

April 7, 2008 at 9:40 pm

Screening Bilateral Breast Ultrasound Dictation

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Clinical History: [x] year old woman referred for bilateral breast ultrasound. [x]

Comparison: [x]

Technique: Bilateral breast ultrasound dated [x]

Findings: Real time ultrasound of both breasts was performed as per clinical request. There is no sonographic evidence of a discrete cystic or solid lesion in either visualized breast.

Impression:

No sonographic evidence of a lesion in either breast.

Recommendation:

Screening mammogram in [x]

Findings and recommendations were discussed with the patient following this evaluation.

Written by lmwong

April 7, 2008 at 9:38 pm