Multiple breast mass lesions

Case contributed by Dr Garth Kruger

Presentation

Routine screening.

Patient Data

Age: 65 years
Gender: Female
Mammography

This case is presented to illustrate 3D orientation on a mammogram.  

Ultrasound

Multiple hypoechoic breast lesions with irregular margins.

Case Discussion

This case illustrates how important it is to correlate the mammogram findings with ultrasound findings in 3 dimensions, keeping in mind the mammogram views are not at right angles to each other. You cannot simply assume that the ultrasound lesion you are presented with is in fact the lesion seen on the mammogram. 

If you have both mammogram and ultrasound images use the opportunity to decide on the mammogram on which radian the lesion is and make sure it correlates with the ultrasound position. In this specific case the initial reader thought the lesion was at 3 o'clock which is clearly not possible if you look at the mammogram.

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