top of page
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg

Case 03

Contributed by Jordana Phillips MD

Updated December 2021

47-year-old woman recalled from screening for possible left breast architectural distortion. Diagnostic CEM was performed.

Instruction: Look at the images below and answer the question that follows.

Diagnostic CEM

To see RECOMBINED IMAGES: Click the recombined buttons

To MAGNIFY: Click         or press Control + Wheel Scroll

Picture1.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
Picture26_edited.png
Picture1.jpg
Picture26_edited.png
Picture1.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg

>> Click for Prior Imaging

Screening Mammogram from 4 years ago

le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg

>> Click for Diagnostic Mammogram

Did you notice the mass on the left AND the masses on the right??? We did and tried to better characterize them with additional spot compression views and lateral views of both breasts. BUT these views weren't really helpful, so I decided not to show them. SOOOO... Why don't you just go ahead and close this section up.

le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg

>> Click for Diagnostic Ultrasound

We performed a targeted ultrasound exam of the left breast mass and right breast masses in the retroareaolar and upper outer breast.

Left 11.jpg
Left 11.jpg
Left 11.jpg

Question

What is the best next step?

Breast MRI

Ultrasound guided core biopsy

Surgery

Stereotactic core biopsy

bottom of page