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