Mediolateral oblique view (mammography)

Case contributed by Garth Kruger
Diagnosis probable


Two MLO views of the same breast, one year apart. Routine. Negative clinical exam.

Patient Data

Age: 45 years
Gender: Female

Dense breast with no parenchymal distortion or abnormal density.

Follow up after one year


One year later note the subtle change in the superolateral glandular tissue. The density has increased and there is now a visible parenchymal distortion in the area. This patient had a small breast carcinoma in the area.

Case Discussion

The superolateral margin of the glandular disc is one of the review areas on mammography. You should train your eye to review this area and together with the prepectoral fat, you should consciously scan this area on review. This way you will pick up subtle density and parenchymal changes. This patient had a normal clinical exam. The tumor was easily seen on ultrasound.

Gary Player said of golf: the more I practice, the luckier I get. The same is true of mammography.

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