BIRADS V lesion

Case contributed by Ceyhun Hacı


Screening breast mammography.

Patient Data

Age: 55 years
Gender: Female

There is an irregular, hyperdense mass with spiculated margins in the upper-lateral quadrant of right breast.

Well-defined, round mass with equal density to the fibroglandular tissue is seen in the right retroareolar area.

Bilateral axillary lymphadenopathy.

Case Discussion

A BI-RADS 5 lesion has the typical imaging features of breast malignancy. On a mammogram, any two of the following features are demonstrated:

  • spiculated or irregular mass
  • high density
  • fine linear or linear branching segmental calcifications

Nipple retraction, skin thickening and evidence of interval growth, if present, would support the diagnosis.

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