Table 1.
Multimodality Imaging and Pathology Results
CE-DBT | |||||||
---|---|---|---|---|---|---|---|
Case # | Side | Digital Mammography |
Ultrasound | MR | Pathology | Pre-contrast DBT | Post-contrast DBT |
1 | Left | 9 mm group of calcifications. Status post core biopsy. |
10×12×9 mm hypoechoic mass. |
11 mm enhancing lesion. Adjacent hematoma. |
Infiltrating ductal carcinoma, 1.8 cm. Biopsy site reaction. |
Rounded density adjacent to biopsy clip. |
Enhancing mass adjacent to post- biopsy seroma/hematoma. |
2 | Left | Focal asymmetry with 12 mm cluster of heterogeneous calcifications. |
Negative | Negative | Usual ductal hyperplasia without atypia. |
Negative | Negative |
3 | Right | 3.2 cm focal asymmetry |
Multiple solid vascular masses. |
3.5 cm area of clumped enhancement |
Invasive ductal carcinoma |
Multiple masses | Segmental, clumped enhancement. |
4 | Right | Post-lumpectomy changes. Residual calcifications at margin. |
Post- lumpectomy seroma |
5mm enhancing nodule at edge of seroma. |
DCIS | Seroma. Otherwise negative. |
Clumped enhancement at edge of seroma. |
5 | Right | 1.4 cm ill-defined asymmetry |
Irregular solid mass |
1.3 cm enhancing mass |
Infiltrating ductal carcinoma |
Spiculated mass | Enhancing spiculated mass |
6 | Left | 2 masses (1.6 cm and 3 cm), index lesion with biopsy clip. |
2 irregular masses |
2 adjacent enhancing masses (combined size of 4.3 cm). |
Invasive ductal carcinoma |
2 adjacent masses | 2 enhancing masses |
7 | Right | Post-excisional biopsy seroma |
Post-excisional biopsy seroma |
Clumped enhancement posterior to seroma |
7.5 × 3.6 × 5.0 cm post-biopsy cavity. Residual intraductal carcinoma. |
Post-excisional biopsy seroma |
Enhancement posterior to seroma |
8 | Left | Calcifications on film-screen only. DM negative. |
8 mm mass in medial breast |
Small mass with adjacent focus of enhancement in medial breast |
Invasive ductal carcinoma with DCIS |
No calcifications demonstrated |
Small foci of enhancement in central breast |
9 - bloody nipple discharge |
Right | Negative | 2 cm mass in central breast. Retroareolar fibroadenoma |
Enhancing 2 cm mass in central breast. Retroareolar fibroadenoma. |
Intraductal papilloma |
No suspicious finding |
No suspicious finding |
10 | Left | 7 cm region of pleomorphic calcifications in lateral breast |
Large mass in lateral breast |
Large enhancing mass |
Extensive DCIS | Large mass in upper outer quadrant |
Enhancing irregular mass in upper outer quadrant |
11 | Left | 3.6 cm lobular mass in superior breast |
3.6 cm lobular mass |
Enhancing 3.6 cm lobular mass |
Invasive lobular carcinoma |
Lobulated mass in upper breast |
Enhancing lobulated mass in upper breast |
12 | Right | Post-biopsy changes. Calcifications in superior and lateral breast |
Post-biopsy changes |
Post-biopsy changes |
DCIS at margins of post-biopsy cavity |
Post-biopsy changes |
Post-biopsy changes |
13 | Left | Small mass in upper outer quadrant |
Mass in lateral breast |
10 × 9 mm enhancing mass in lateral breast |
Invasive ductal carcinoma with DCIS |
Biopsy clip | Small focus of faint enhancement adjacent to biopsy clip |