Rolled CC view

Last revised by Joshua Yap on 22 Aug 2024

A rolled CC view is performed to locate a lesion only visible in the cranio-caudal view, or when overlapped tissues in the standard view can simulate or partially conceal a lesion. Changing the distribution of breast parenchyma allows confirmation of the presence of a true lesion. When the lesion identified moves medially or laterally with respect to the standard cranio-caudal projection, it is possible to localize the quadrant it is in.

Given that rolled projections can be performed from any standard projection, the most commonly used is the cranio-caudal projection. 

Positioning

The breast is positioned on the image receptor as for the cranio-caudal view, then rotated medially or laterally around the axis of the nipple prior to applying compression.

Correctness criteria
  • increased conspicuity of the structures concerned

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