Breast lesion localisation (mnemonic)

Radswiki et al.

A mnemonic to help remember breast lesion localisation when given a set of mammograms in medio-lateral oblique (MLO) and 90-degree/true lateral (medio-lateral [ML] or latero-medial [LM]) views to predict laterality is:

  • muffins rise and lead falls

This can help localise a finding on MLO during diagnostic mammography into the quadrant (e.g. upper outer), even when the finding is not well-seen on the cranio-caudal (CC) view, in order to make ultrasound correlation easier.

Mnemonic

  • muffins rise: if the lesion appears in a higher position on the lateral than MLO, then it is located medially
  • lead falls: if the lesion appears in a lower position on the lateral than MLO, then it is located laterally

To remember the order of the views, remember that true lateral views are usually obtained in a diagnostic mammogram after an abnormality is initially found on a screening mammogram, which consists of an MLO and CC view.

For example, a lesion in the right breast at 2 o'clock will project around the level of the nipple on MLO and then appear to rise on the lateral view, as it is medial in the breast. A lesion in the right breast at 8 o'clock will project around the level of the nipple on MLO and then appear to fall on the lateral view, as it is lateral in the breast.

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Article information

rID: 12180
System: Breast
Section: Mnemonics
Tag: refs
Synonyms or Alternate Spellings:
  • Muffins rise and lead falls
  • Muffintops rise and lead falls
  • Muffins tops rise and lead falls

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