Breast Mass Case # 2            Case: 1    2    3    4    5    6    7    8    9    <<Back    Next>>
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 75 year old female with new finding on mammogram
Sagittal T2W Sagittal T2W FS Axial T1W Axial T1W FS post gad
wpe1D.gif (20432 bytes) wpe1F.gif (37012 bytes) wpe23.gif (25627 bytes) wpe25.gif (42776 bytes) 
Round mass, low T2W signal, intermediate T2W FS signal, intermediate T1W signal
Dynamic post gadolinium T1W FS
wpe2D.gif (34828 bytes) wpe2B.gif (34881 bytes) wpe29.gif (34546 bytes) wpe27.gif (39881 bytes)
Enhancement curve
ln_roi.jpg (29176 bytes) ln_graph.jpg (15834 bytes) 
Prompt enhancement with plateau then washout (Type III)
Subtraction

ln_s1.gif (85852 bytes)
First post-enhancement phase

ln_s2.gif (86186 bytes)
Third post-enhancement phase

 
Mammogram: Focal nodularity measuring 1 cm and associated microcalcifications had increased from the prior year.
Ultrasound
ln_us1.jpg (46380 bytes) Slightly irregular, hypoechoic nodule 
Diagnosis: Invasive ductal adenocarcinoma, modified Bloom-Richardson grade 2