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 09

Contributed by Jordana Phillips MD

Updated December 2021

65-year-old recalled from screening for right breast AD. CEM performed for as part of the diagnostic work-up for further evaluation.

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

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

>> Click for Diagnostic Mammogram

The questioned distortion was not appreciated on the low-energy views. BUT spot compression views were performed and revealed the subtle distortion. An enhancing mass was noted in this location.
Close this section to continue to the rest of the case.

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

>> Click for Diagnostic Ultrasound

Targeted ultrasound was performed of the upper outer right breast.

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

Question

What is the next step?

Annual exam

Breast MRI

Tomosynthesis-guided biopsy

Ultrasound-guided biopsy

bottom of page