Breast Imaging: A Core Review (17 page)

A. Intraductal carcinoma

B. Duct ectasia with debris

C. Fibrocystic change

D. Intraductal papilloma

6a
 Based on the following images, what would be the appropriate BI-RADS category?

A. BI-RADS 2

B. BI-RADS 3

C. BI-RADS 4

D. BI-RADS 5

6b
 What is the appropriate recommendation?

A. Annual screening mammography

B. Short-term follow-up in 6 months

C. Core needle biopsy

D. Surgical excisional biopsy

7
 A 45-year-old female presents with a palpable abnormality in the right breast. Based on the ultrasound image below, what is the most appropriate BI-RADS assessment?

A. BI-RADS 2

B. BI-RADS 3

C. BI-RADS 4

D. BI-RADS 5

8
 A 35-year-old female with a history of a left lumpectomy, radiation therapy, and chemotherapy at age 29 presents for her annual diagnostic mammogram. Based on the magnification images of the lumpectomy site, what is the most appropriate next step?

A. 6-month follow-up

B. MRI

C. Stereotactic core biopsy

D. Annual screening mammogram

E. Annual diagnostic mammogram

9
 A 40-year-old female was recalled from screening for calcifications in the right breast. Based on the magnification views, what is the most appropriate BI-RADS lexicon description for the calcifications?

A. Coarse heterogeneous

B. Secretory

C. Punctate

D. Pleomorphic

10a
 A 50-year-old female was recalled from screening for a mass within the left breast. Based on images A and B, what is the best description of the mass shape and margins using the BI-RADS lexicon?

A. Round, obscured

B. Irregular, microlobulated

C. Irregular, spiculated

D. Round, speculated

10b
 An ultrasound of mass was performed. Based on images A and B, what is the best BI-RADS lexicon description of the shape and margins of the mass?

A. Oval, spiculated

B. Oval, angular

C. Irregular, angular

D. Irregular, speculated

10c
 The mass was also examined by elastography. Given the image below, which statement is correct?

A. The mass measures cystic or soft by elastography.

B. The mass measures hard or stiff by elastography.

C. The mass is indeterminate for stiffness by elastography.

D. The mass stiffness suggests malignancy by elastography.

11a
 A 65-year-old female with a history of right mastectomy, contralateral prophylactic mastectomy, and bilateral TRAM flap reconstruction for right breast–invasive ductal carcinoma and DCIS presents for surveillance breast MRI. Axial T1-weighted and axial postcontrast subtraction images are provided. What is the most likely diagnosis?

A. Recurrent invasive ductal carcinoma

B. Fat necrosis

C. Breast abscess

D. Postsurgical seroma

11b
 The patient’s left mammogram is also shown. No prior mammogram is available for comparison at this time. What is the most appropriate BI-RADS classification?