Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.

305 results found
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Suspicious breast calcifications

Suspicious breast calcifications are calcifications within the breast that are not benign. These calcification need further work up and biopsy. These can be divided as suspicious calcification of intermediate concern  suspicious calcification raising high probability of malignancy
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Suture calcification in breast

Suture calcification in breast can be seen after a lumpectomy and/or radiation therapy. It is theorised that tissue damage from radiation therapy delays the resorption of the suture. The residual suture material is thought to act as a nidus for calcification. Radiographic features Mammography ...
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Synchronous breast cancer

Synchronous breast cancers are two (or more) primary breast cancers that occur in either breast at the same time.  Epidemiology Up to 10% of all breast cancers may be synchronous (particularly found with the use of breast MRI). The occurrence of bilaterality is greatest with invasive lobular c...
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Tabar 5-tier grading system

The Tabar 5-tier grading system is used to classify mammographic lesions. This should not be confused with the Tabar classification of parenchymal patterns in breast imaging. It is a separate but translatable system to the BI-RADS classification system (please note that Tabar grade 3 ≠ BI-RADS 3...
Article

Tangential views

Tangential views are useful to differentiate intracutaneous radiopaque particles in a tattoo from intraparenchymal microcalcifications. Mammographic findings close to the skin such as masses, microcalcifications, skin dimpling or shaded areas always pose a problem of differential diagnosis. Va...
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Tattoo sign (mammogram)

The tattoo sign is a feature given to describe dermal calcifications seen on mammography 1. The basis of this sign is that dermal calcifications maintain fixed relationships to one another which are reproducible with similar projections at different times. This is in contrast to intramammary cal...
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Teardrop sign (intracapsular breast implant rupture)

The teardrop sign indicates an uncollapsed intracapsular breast implant rupture and is seen as a small focal invagination of the implant shell caused by a minimal concealed leak of droplets of silicone outside the shell where the two membranes contact each other. It is best appreciated by MRI. ...
Article

Technique of masking

Masking is very important when viewing mammograms, especially with high-density breasts. It helps the adaptation of the eye to the luminance of the mammograms on the viewbox.                     The technique of masking allows the comparative study of small areas of both breasts and is a featur...
Article

Tent sign (breast)

The tent sign is a term referring to a characteristic appearance of the posterior edge of the breast parenchyma when a mass (usually an infiltrating lesion) causes its retraction and forms an inverted "V" that resembles the tip of a circus tent. The detection of a "tent sign" is facilitated by ...
Article

Terminal ductal lobular unit

Each breast lobe is drained by a collecting duct terminating in the nipple. The collecting duct has several branches, which ends in a terminal ductal-lobular unit (TDLU), the basic functional and histopathological unit of the breast. The TDLU is composed of a small segment of the terminal duct a...
Article

Transverse rectus abdominis musculocutaneous flap

Transplantation of a transverse rectus abdominis myocutaneous (TRAM) flap is a commonly used surgical procedure for breast reconstruction following mastectomy. An autologous myocutaneous flap consisting of abdominal skin, subcutaneous fat, the rectus abdominis muscle, and adjoining vasculature ...
Article

Triangulation

Triangulation is a technique for determining if a questionable structure is genuine or superimposition of structures. Technique hang the CC, MLO, and 90° lateral films (in that order) on the view box the nipple on each film must be at the same level use a ruler and place one end over the les...
Article

Triple receptor negative breast cancer

Triple receptor-negative (TRN) breast cancer is a subtype of breast cancer characterised by a relative absence of immunohistochemical staining for the following hormone receptors/protein: oestrogen receptor (OR) progesterone receptor (PR) human epidermal growth factor receptor 2 (HER2/neu) E...
Article

Tuberculous mastitis

Tuberculous mastitis is often considered a form of granulomatous mastitis secondary to Mycobacterium tuberculous infection of the breast. Some authors however reserve the term granulomatous mastitis to idiopathic granulomatous mastitis.  Tuberculous mastitis can mimic many other pathologies in ...
Article

Tuberous breasts

Tuberous breasts are congenital deformities of breast. They are defined by reduced parenchymal volume and herniation of breast tissue through the nipple-areola complex. Epidemiology The exact incidence is not clear. However, it is a common cause of patients presenting with breast asymmetry. Pr...
Article

Tubular adenoma of the breast

Tubular adenomas (TA) of the breast, also known as pure adenoma of the breast, are a rare benign breast lesion. It is a type of adenomatous breast lesion. Epidemiology They are typically found in young women and are usually palpated by the patient or her physician. Pathology On gross patholo...
Article

Tubular carcinoma of the breast

Tubular carcinoma of the breast is a subtype of invasive ductal carcinoma (IDC).  Epidemiology These account for ~1% of breast cancers. The peak age at presentation may be comparatively younger than with other types of breast cancer 7. Clinical presentation The vast majority of tubular carci...
Article

Tubulolobular carcinoma of the breast

A tubulolobular carcinoma (TLC) of the breast is considered a subtype of breast cancer that features of both invasive lobular carcinoma and tubular carcinoma of the breast. It therefore exhibits features of both ductal and lobular differentiation. Multifocality, muticentricity and percentage of ...
Article

Tucked CC views

In the standard CC views posterior tissue may be excluded from the field of view, due to the anatomical attachment to the chest wall restricting mobility of breast tissues. The tucks CC views are useful to depict lesions deep in the posterior portion of the breast, located between 10 and 2 o'clo...
Article

Ultrasound evaluation of breast cysts

Ultrasound evaluation of breast cysts is the modality of choice. Obstruction of the ducts, often appearing as the result of epithelial hyperplastic processes or the stromal fibrosis, or both processes lead to the formation of cysts, disabling the drainage of the terminal ducts of the lobules. I...
Article

Ultrasound guided breast biopsy

Ultrasound guided percutaneous breast biopsy is a widely used technique for an accurate histopathological assessment of suspected breast pathology. It is a fast, safe and economical procedure. Indications Ultrasound guidance is limited to lesions visible on ultrasound study, such as:  BIRADS ...
Article

Unilateral axillary lymphadenopathy (differential)

Unilateral axillary lymphadenopathy while being more concerning than bilateral axillary lymphadenopathy can still arise from a various benign as well as malignant causes. Benign mastitis other regional infective causes tuberculosis ipsilateral arm infection, e.g. cellulitis silicone induce...
Article

Vascular calcification in breast

Vascular calcifications in the breast are calcifications associated with blood vessels.   Epidemiology They are most often seen in post menopausal women with arteriosclerotic heart disease.  Pathology Results due to calcified atherosclerotic plaques in the arterial walls. Associations coro...
Article

Well-defined breast cancers (differential)

Certain well-defined breast cancers tend lack the characteristic spiculation and can give false reassurance of more benign entities on both ultrasound and mammography. These include: certain high grade invasive ductal carcinomas: not enough time for a desmoplastic reaction to form spiculation ...
Article

XCCL view

An XCCL view is a supplementary mammographic view. It is a type of exaggerated cranio-caudal view. It is particularly good for imaging the lateral aspect of the breast.  It is often done when a lesion is suspected on a MLO view but cannot be seen on the CC view. In this view, the lateral aspect...
Article

XCCM view

An XCCM view is a supplementary mammographic view. It is a type of exaggerated cranio-caudal view. It is particularly good for imaging the medial portion of the breast. In this view, the medial portion of the breast is placed forward. A negative 15° tube tilt is suggested. An optimal XCCM view ...

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