BIRADS III lesion

Case contributed by Paresh K Desai
Diagnosis almost certain

Patient Data

Age: Adult
ultrasound

A smooth well-defined lesion is seen in the right breast.

Uniformly hypoechoic, transverse diameter > AP, posterior accoustic enhancement, no micro/ macrocalcifications.

Case Discussion

All features are consistent with a probable benign lesion (BIRADS III).

BI-RADS 3 carries a management recommendation of short-term follow-up. The recommendation should be for the modality or modalities that best demonstrated the initial finding.

While follow-up protocols differ across practices, a common schedule is at 6, 12, and 24 months. Once stability is documented for at least two, and at most three, years, the finding can be downgraded to BI-RADS 2 (benign). If the finding develops suspicious features, such as growth, non-circumscribed margins, or suspicious calcification morphology, then it should be upgraded to BI-RADS 4 or 5.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.