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Breast Imaging Cases
Case 1A 51 year old post menopausal woman presenting with a right breast lump since 2 months. No history of HRT. Negative family history.
Bilateral MLO Mammography
Ultrasonography
Axial T1 Saggital
T2
Axial Subtraction
Axial T2 IR
MIP
Case 1 Axial Dynamic post contrast fat suppressed FLASH, with signal-time analysis curve
Pathology: Multifocal Right Invasive Duct Carcinoma & Left Fibroadenoma
Case 2A 45 year old woman excised a left axillary malignant mass 3 months ago, and is under chemotherapy. Now she feels a right breast lump at 8 o’clock.
Mammography
Ultrasonography
Axial Subtraction
Axial Dynamic post contrast Fat suppressed FLASH, with signal-time
analysis curve
MIP
Case 2
Pathology : Bilateral Invasive Lobular Ca
Case 3A 55 year old woman who underwent left conservative surgery 1year & 4 months ago followed by radio& chemotherapy.
Ultrasonography of the right breast
Mammography
LR
Axial T1
Axial T2 IR
Saggital T2
MIP
Axial Dynamic post contrast Fat suppressed FLASH, with signal-time analysis curve
Case 3
Pathology: Recurrent Left Multicentric Invasive Ductal Ca
Magnified Mammography views & U/S showing the left breast palpable lump, and an incidental nodule on the right side.
LeftRight
A 55 year old postmenopausal woman is presenting with a left Upper Outer Quadrant lump. Negative family history. No history of HRT
Case 4
Axial T1
Axial T2 IR
Saggital T2
Right Left
Axial Subtraction
MIP
Case 4
• RT F adenomaRT F adenoma• LT IDCa.LT IDCa.
- 64 year old lady underwent Lt conservative surgery for Ca breast followed by RT& Chemo in 1998.- Rt UIQ retroareolar benign lumpectomy was also done.
Case 5
Mammography :CC
Mammography :ML
US of LT scar
MRI: T1 T2IR
MRI: Dynamic Fat Supp T1 Subtraction
MRI: Dynamic Fat Supp T1 Subtraction
MRI: Dynamic Fat Supp T1 Subtraction
MRI: Dynamic Fat Supp T1 Subtraction
MRI: MIP
Time –Intensity curve
Case 5: fat necrosis
Case 6: 42 year old lady with rt conservative surgery 2 yrs ago + RT +CT
RT Breast
LT Breast
Case 6
• Pathology: Pathology: • Rt recurrent I DCaRt recurrent I DCa• Lt LNLt LN
Case 7:45 yr old , rt mastectomy + RT+ CTlt implant
Case 7:
• Pathology: FibroadenomaPathology: Fibroadenoma
Case 8
• A 46 year old woman presenting with right A 46 year old woman presenting with right mastalgia . Previous history of right benign mastalgia . Previous history of right benign lumpectomy five years ago. Negative family lumpectomy five years ago. Negative family history of cancer breasthistory of cancer breast
T1
MIP
• Pathology:Pathology:• FibroadenomaFibroadenoma
Case 9A 56 y old woman presenting with a left breast lump
• Pathology Multicentric CaPathology Multicentric Ca
Case 10a 40 year old woman presenting with a left breast lump
Case 10
Pathology:Degenerated Fibroadenoma
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