Professional Documents
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Breast layers
Skin
Coopers ligamnets hyper-reflective and traverse the superficial fat layer between the fat lobules.
Parenchymal layer in radial scan showing a well define echo free channels that taper peripherally
Arterial Supply
Venous Drainage
Lymphatic Drainage
Ductal Architecture
Breast UTZ
7.5 to 10 MHz or greater linear array 4-5 cm tissue penetration Proper positioning:
Breast US
Proper positioning: supine position arm raised behind the head (further reduces breast tissue thickness) for examination of the lateral aspect: supine with arm raised behind the head and the back supported with a foam pad/ wedge.
4 quadrants
Radial
Antiradial
Transverse
Longitudinal
Ultrasound labeling
Breast side Quadrant or clock position Scan plane Number of centimeters from the nipple Image of pertinent findings, with or w/o measuring calipers.
Breast Disease
The most frequent clinical application of breast UTZ is to characterized a mass initially detected by mammography as cystic or solid.
Breast cyst
Multilocular or septated:
Cyst which exhibits a fluid level. The aqueous fluid lies below the oily component.
Ultrasonogram demonstrates a hypoechoic mass with smooth, partially lobulated margins typical of a fibroadenoma.
Well-defined smooth marginated homogenous focal lesion that exhibits edge shadowing and slight increased through transmision.
Milk filled cyst the fatty fluid content gives rise to the complex internal appearance.
Galactocele
UTZ image demonstrating a fatfluid level (long arrows), with typical high and low echogenicity. Note that the fatty component has risen and occupies the upper (nondependent) portion of the cyst, whereas the heavier water content remains in the lower (dependent) portion. Note also the clot of fatty milk (cream) (short arrow) floating in the nondependent portion of the cyst owing to its intermediate density.
Mastitis
Mastitis secondary to S aureus infection. Transverse UTZ image shows a complex heterogeneous mass (arrows), a finding that represents a subareolar abscess.
Mastitis:
Breast Abscess
Mastitis:
Sonographic image of DCIS: shows solid-appearing distended duct with irregular margins
Invasive carcinomas typically have irregular margins, are hyporeflective and heterogeneous and exhibits posterior acoustic shadowing.
Transverse US scans of a breast show marked skin thickening (*), dilated lymphatic channels (arrowheads), and focal areas of parenchymal acoustic shadowing (arrows).
Medullary carcinoma
Medullary carcinoma
Medullary carcinoma, Gross image.This tumor has a soft consistency with a fleshy gray appearance. The tumor generally has a well defined margin.
Pagets disease
Pagets disease
Tubular carcinoma
B. Sonography shows an approximately 0.9-cm sized, spiculated, irregularly shaped hypoechoic mass (arrows) in the subareolar area of the right breast.
Invasive lobular carcinoma (hyporeflective focal mass w/ irregular margin and posterior sonic shadowing
Sonogram of right breast shows irregular hypoechoic solid mass in upper outer quadrant of right breast that corresponds to palpable and mammographic mass. Sonographically guided core biopsy showed infiltrating lobular carcinoma.
Benign mass char. wider than tall four or fewer gentle lobulations intense homogenous hyperechogenecity thin, echogenic capsule
Suspiciuos UTZ char. of solid breast masses taller than wide acoustic shadowing spiculation microlobulation microcalcifications duct extension branch pattern angular margins hypoechoic
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Small cyst with fine homogenous echo texture and reflectivity may represent either very thick fluid or small solid fibroadenoma
"Rt 12 2C RAD".
This term means "orange skin" in French. It's when the skin of the breast looks like the skin of a navel orange: It gets swollen and the hair follicles look like lots of little dimples. This can be a sign of inflammatory breast cancer.