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Analog versus digital breast imaging

Case contributed by Dr Garth Kruger


Routine screening study left breast. Previous analog images 3 years ago.

Patient Data

Age: 44
Gender: Female

Analog MLO view right breast 3 years ago.


Note the small developing density high up just anterior to the pectoral muscle profile. MLO view digital image of the right breast 2013


Small solid spiculated lesion on ultrasound. The lesion is almost as tall as broad, nearly tilted on its head.

Case Discussion

Train your eye to run up and down the pectoral muscle profile. This will allow you to pick up small lesions like this. Another example of how important it is to review the submammary fat.

Do not despair if your previous images are analog. It's still worth reviewing them. 

(If you look at the original analog image, do you also get the impression the little shadow is already there? Hindsight in radiology and life is 20/20).

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Case information

rID: 22364
Published: 27th Mar 2013
Last edited: 14th Aug 2019
System: Breast
Inclusion in quiz mode: Excluded

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