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Boston Breast Imaging
Educational Hub
Case 16
(continued)
Answer:
This is an example of moderate BPE. Notice the foci of enhancement that may limit your ability to find cancers.
At the moment, there is limited agreement regarding BPE classification, especially in the mild and moderate categories. If you feel that the BPE compromises your ability to detect a distinct lesion, then classifying the BPE as moderate would be preferred over mild.
Karimi Z, Phillips J, Slanetz P, et al. Factors Associated With Background Parenchymal Enhancement on Contrast-Enhanced Mammography. AJR Am J Roentgenol. 2021 Feb;216(2):340-348
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