-
DDx: Enhancing breast lesions on MRI
- Carcinoma
- Fibroadenoma
- Papilloma
- Fibrocystic Change / Sclerosing Adenosis / Ductal Hyperplasia
- ADH, ALH, LCIS
- Focal physiologic enhancement
-
MRI signs of Intracapsular Breast Implant Rupture
- Linguini, Teardrop, and Keyhole signs
-
Ultrasound Signs of Breast Implant Rupture
- Stepladder - intracapsular rupture
- Snowstorm - extracapsular rupture
-
DDx: Skin thickening of the breast
"CaRaMEL"
- Carcinoma / Inflammatory Cancer
- Radiation Therapy
- Mastitis
- Edema - CHF, Anasarca, etc.
- Lymphedema
-
DDx: Unilateral axillary lymphadenopathy
- Occult breast cancer until proven otherwise
- - US axilla, biopsy, look for primary carcinoma with MRI if necessary
- Malignant causes:
- - Breast CA
- - Lymphoma
- - Other metastatic processes
- Reactive:
- -Cat-scratch fever
- -Other infections
-
DDx: Bilateral axillary adenopathy
"CLINICS"
onnective Tissue Disorder - SLE, lupu s- Lymphoma
- Infection - TB, Fungal, HIVNon-Breast Metastatic Disease
- Inflammatory Arthropathy (RA, psoriasis)
- Cancer Breast (ONLY VERY RARELY - usually unilateral)
- Sarcoidosis
-
Findings associated with malignancy
"C-STAR"
- Calcifications
- Skin Lesion
- Thickening of Skin and Trabecula
- Axillary Adenopathy and Architectural Distortion
- Retraction of the Skin and Nipple
-
DDx: Complex cystic mass on ultrasound of the breast
"PAP is PO"
apilloma - Abscess
- Papillary Carcinoma
- Post-op/post-traumatic collection (i.e. hematoma or seroma)
- Oil Cyst / Galactocele
-
Nonspecific area of posterior acoustic shadowing on ultrasound of the breast
-
Dystrophic calcifications
-
Linear retroglandular bands of density
Retroareolar dystrophic calcification
Parenchymal redistribution
Breast reduction surgery associated findings
-
- Milk of calcium on ML view
- "smudgy" on CC view
-
- Oil Cyst
- "eggshell calcification"
-
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