Preface
Sect. I Mammography Screening 1
Sect. II Calcifications on Mammograms 15
Process-Specific Calcifications and Typically Benign
Calcifications 18
Skin Calcifications 18
Vascular Calcifications 19
Large, Coarse "Popcorn"-Shaped Calcifications 20
Rod-Shaped "Secretory" Calcifications and Linear Calcifications
22
Round, Smooth Calcifications 24
Lucent-Centered Calcifications 26
Rim or Eggshell Calcifications 28
Milk of Calcium 32
Suture Calcifications 33
Dystrophic Calcifications 33
Punctate Calcifications 34
Indeterminate and Nonspecific Calcifications 38
Amorphous Calcifications 38
Increased Probability of Malignancy 40
Pleomorphic Calcifications 40
Fine, Linear Branching Calcifications 46
Distribution Patterns of Calcifications 49
Clustered Microcalcifications 49
Linearly Distributed Calcifications 51
Segmentally Distributed Calcifications 52
Regionally Distributed Calcifications 55
Diffusely Scattered Calcifications 57
Sect. III Masses and Architectural Distortion on Mammograms 61
Round and Oval Masses with Sharply Defined Margins 63
Lobulated Masses 71
Microlobulated Masses 79
Round, Oval, and Lobulated Masses with Obscured Margins 82
Irregularly Shaped Masses with Ill-Defined Margins 87
Spiculated Lesions 98
Focal Asymmetric Density 104
Asymmetric Breast Tissue 110
Architectural Distortion 114
Multiple Densities 120
Lucent Lesions and Lesions of Mixed X-ray Attenuation 130
Skin Retraction 138
Skin and Trabecular Thickening 139
The Axilla 146
Sect. IV Unusual Lesions 153
Sect. V Ultrasound Atlas 159
Cysts 162
Intracystic Lesions 166
Hypoechoic Masses 169
"False-Negative" Ultrasound 177
"False-Positive" Ultrasound 178
Invasive Carcinoma 179
Lymph Node Evaluation 180
Sect. VI Magnetic Resonance Imaging Atlas 183
Implant Imaging 194
Subject Index 197