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