IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

BIRADS V lesion

Case contributed by Ceyhun Hacı
Diagnosis almost certain

Presentation

Screening breast mammography.

Patient Data

Age: 55 years
Gender: Female
mammography

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.

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.