35-Dr Ahmed Esawy imaging oral board of breast imaging part III calcification ,magnetic resonance...
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Transcript of 35-Dr Ahmed Esawy imaging oral board of breast imaging part III calcification ,magnetic resonance...
The Art of Radiology
41-year-old woman with nipple discharge. Mammogram was negative, and retroareolar ultrasound showed only dilated ducts
MRI of Implant
MRI Appearance of Various Implants
MRI Appearance of Various Implants
MRI Appearance of Various Implants
MRI Appearance of Various Implants
MRI Appearance of Various Implants
Silicone implants
Silicone implants
MRI of Implant Failure
MRI of Implant Failure
MRI of Implant Failure
MRI of Implant Failure
MRI of Implant Failure
MRI of Implant Failure
MRI of Implant Failure
MRI of Implant Failure
MRI of Implant Failure
Breast Imaging Lexicon
MASSES
MASSES Morphological Description
Bi-Rads (ultrasound)
Non Simple Cysts
BIRADS Algorithm for Non Simple Cysts
complex cyst septationsthick vs. thin
complex cyst mural noduleprotrusion beyond cyst wall
Non-simple cystssimplified rules for BI-RADS 3identical for those of solid nodule
SUMMARY: Malignant Characteristics
BI-RADS–MRI
Morphologic Assessment ofEnhancement
1 -Focus and Foci
Morphologic Assessment ofEnhancement
Masses
Masses
Masses
Masses
Morphologic Assessment ofEnhancement
3 -Nonmasslike Enhancements
3 -Nonmasslike Enhancements
3 -Nonmasslike Enhancements
c. Symmetric or Asymmetric Enhancements
Associated Findings
Kinetic curve assessment
BI-RADS CATEGORIES
BI-RADS 0
BI-RADS 1
BI-RADS 2
BI-RADS 2Benign Finding
BI-RADS 3Probably Benign Finding
BI-RADS 3Probably Benign Finding
Category 3 Lexicon
BI-RADS 4Suspicious Abnormality
BI-RADS 4Suspicious Abnormality
Category 4A
Category 4B
Category 4C
Category 5
Category 5
BI-RADS 6Known Biopsy Proven Malignancy
Thank you
INTERMEDIATE CONCERN CALCIFICATIONS
CALCIFICATIONS ASSOCIATED WITH A HIGH PROBABILITY OF MALIGNANCY
Fine Linear or Branching Calcifications
BIRADS classification ofnormal breast parenchyma
A round, oval, or lobulated mass with sharply defined borders has a high likelihood of being benign.
Lesions with Obscured Margins
Lesions with Ill-defined Margins
IMAGING OF THE AXILLA
ANATOMY OF VESSELS AND NERVES
NORMAL AXILLARY ANATOMY
NORMAL AXILLARY VESSELS
NORMAL AXILLARY VESSELS
NORMAL AXILLARY LYMPH NODE
LYMPH NODE
CORTEX AND SINUS OF A NORMAL LYMPH NODE
NORMAL AXILLARY LYMPH NODES
LYMPH NODE REPLACED ALMOST ENTIRELY BY FAT
HILAR VESSEL OF A LYMPH NODE
METASTATIC AXILLARY LYMPH NODES
DIFFERENT APPEARANCES OF ABNORMAL LYMPH NODES
ECCENTRIC CORTICAL THICKENING WITH OUTWARD AND INWARD BULGES
PERINODAL INVASION
INFLAMMATORY METASTATIC
ONE FEEDING VESSEL MULTIPLE VESSELS
BILATERAL ADENOPATHY CAUSED BY VIRAL INFECTION
REACTIVE LYMPH NODE PER OPEN BIOPSY
ENLARGED LEVEL 2 NODES
AXILLARY LYMPH NODES IN LYMPHOMA BREAST CA.
BILATERAL AXILLARY ADENOPATHY - LYMPHOMA
SMALL PRIMARY WITH METASTASES
METASTATIC L.N, NORMAL MAMMOGRAM
ENHANCING MASS ON M.R.I
INTERNAL MAMMARY LYMPH NODE
ACCESSORY BREAST
GALACTOCELE IN AXILLARY BREAST TISSUE
PRIOR GRANULOMATOUS INFECTION
SILICONE CONTAINING LYMPH NODE
NON NODAL AXILLARY DENSITIES
SEBACEOUS CYST
POSTOPERATIVE SEROMA IN THE AXILLA – CLEAR FLUID
MULTISEPTATED SEROMA