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Role of Sonography in Evaluation of Radial Scars of the Breast

Michael A. Cohen1 and Steven J. Sferlazza

1 Both authors: Memorial Sloan-Kettering Guttman Diagnostic Center, 12th Fl., 55 Fifth Ave., New York, NY 10003.



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  		Fig. 1A. —69-year-old asymptomatic woman who underwent screening mammography. Radial scar diagnosed at pathology. Screening mammogram, mediolateral oblique view, shows subtle stromal distortion without central mass (arrow).

 


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  		Fig. 1B. —69-year-old asymptomatic woman who underwent screening mammography. Radial scar diagnosed at pathology. Screening mammogram, craniocaudal view, shows corresponding, though less conspicuous, stromal distortion without central mass (arrow).

 


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  		Fig. 1C. —69-year-old asymptomatic woman who underwent screening mammography. Radial scar diagnosed at pathology. Diagnostic mammogram, mediolateral oblique coned magnification view, confirms stromal distortion without central mass. Note predominance of radiating black stripes, "black star" configuration, suggestive of radial scar (arrows).

 


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  		Fig. 1D. —69-year-old asymptomatic woman who underwent screening mammography. Radial scar diagnosed at pathology. Diagnostic mammogram, craniocaudal coned magnification view, confirms corresponding region of ill-defined stromal distortion without discrete central mass (arrows).

 


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  		Fig. 1E. —69-year-old asymptomatic woman who underwent screening mammography. Radial scar diagnosed at pathology. Sagittal (E) and transverse (F) sonograms confirm the presence of focal hypoechoic irregular mass with ill-defined borders and posterior acoustic shadowing (arrows).

 


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  		Fig. 1F. —69-year-old asymptomatic woman who underwent screening mammography. Radial scar diagnosed at pathology. Sagittal (E) and transverse (F) sonograms confirm the presence of focal hypoechoic irregular mass with ill-defined borders and posterior acoustic shadowing (arrows).

 


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  		Fig. 2A. —80-year-old asymptomatic woman who underwent screening mammography. Radial scar diagnosed at pathology. Screening mammograms, mediolateral oblique (A) and craniocaudal (B) views, show region of stromal distortion radiating from vague zone of intermixed fat and soft tissue (arrows).

 


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  		Fig. 2B. —80-year-old asymptomatic woman who underwent screening mammography. Radial scar diagnosed at pathology. Screening mammograms, mediolateral oblique (A) and craniocaudal (B) views, show region of stromal distortion radiating from vague zone of intermixed fat and soft tissue (arrows).

 


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  		Fig. 2C. —80-year-old asymptomatic woman who underwent screening mammography. Radial scar diagnosed at pathology. Diagnostic mammograms, coned magnification mediolateral oblique (C) and craniocaudal (D) views, reveal long slender spicules radiating from lowdensity, poorly-defined fat and soft-tissue masslike opacity (arrows), suggesting presence of radial scar.

 


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  		Fig. 2D. —80-year-old asymptomatic woman who underwent screening mammography. Radial scar diagnosed at pathology. Diagnostic mammograms, coned magnification mediolateral oblique (C) and craniocaudal (D) views, reveal long slender spicules radiating from low-density, poorly-defined fat and soft-tissue masslike opacity (arrows), suggesting presence of radial scar.

 


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  		Fig. 2E. —80-year-old asymptomatic woman who underwent screening mammography. Radial scar diagnosed at pathology. Transverse sonogram reveals hypoechoic irregular mass with ill-defined borders and posterior acoustic shadowing (arrow).

 

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