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Case 13

Contributed by Jordana Phillips MD

Updated May 2022

56-year-old woman recalled from screening for bilateral asymmetries.

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

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>> Click for Diagnostic Mammogram

There was a round mass in the lower inner left breast that was devoid of enhancement on recombined images consistent with a cyst. There was also a round mass in the deep central outer right breast that was devoid of enhancement on recombined images consistent with a cyst. No additional diagnostic mammographic views were performed.

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>> Click for Diagnostic Ultrasound

Ultrasound was performed revealing cysts in the areas of the masses seen on CEM.

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Question

How would you classify this CEM?

BI-RADS 2, benign. Return to screening.

BI-RADS 3, probably benign. Follow-up MG in 6 months.

BI-RADS 4, suspicious. Biopsy is recommended.

BI-RADS 0, incomplete. Additional imaging is needed.

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