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Case of the Month

May 2016

Patient Data: 65 year old female

Clinical Info: Palpable mass in the left breast


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Palpable lesion in the left breast. Do you think it is benign


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The lesion is vascularized


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There is another smaller lesion in the left breast


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Is this a small benign cyst?


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There is another larger lesion in another part of the left breast


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This lesion is vascularized


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In the right breast is this tiny lesion. Is this a cyst?


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No this lesion is vascularized


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Mammography Right MLO


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Mammography Left breast MLO


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Mammography Right breast CC


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Mammography Left breast CC


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Patient also feels a lesion in the upper arm


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The lesion lies in the subcutaneous tissues


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And this lesion is vascularized

There are multiple lesions mainly in the left breast and at least one lesion in the right breast. Also there is a subcutaneous lesion in the upper arm. Biopsy proved all the lesions to be metastases of a multiple myeloma.
Watch out for oval and round solid breast lesions, because not all of them are benign. Classify the oval lesions at least as BIRADS 3 or 4A and classify round lesions as 4A.When they are multiple biopsy at least the largest or most suspicious looking lesion.

For more pitfalls in breast imaging see the presentation on this subject in the slideshow category and for more examples see

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