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Negative Predictive Value of Sonography with Mammography in Patients with Palpable Breast Lesions

Mary Scott Soo1, Eric L. Rosen1, Jay A. Baker1, Thuy T. Vo1,2 and Blythe Ann Boyd1,3

1 Department of Radiology, Duke University Medical Center, P.O. Box 3808, Rm. 24244B, Durham, NC 27710.
2 Present address: East Valley Diagnostic Imaging, 1125 E. Southern Ave., Ste. 300, Mesa, AZ 85212.
3 Present address: 72 E. 7th St., Apt. 1C, New York, NY 10003.



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  		Fig. 1A. —64-year-old woman with invasive lobular carcinoma. Mediolateral oblique mammogram of right breast shows heterogeneously dense tissue with metallic marker indicating palpable abnormality located posteriorly in breast. No mammographic abnormality is seen.

 


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  		Fig. 1B. —64-year-old woman with invasive lobular carcinoma. Sonogram with false-negative findings for palpable invasive lobular carcinoma that was prospectively interpreted as negative shows vague ill-defined hypoechoic region posteriorly (arrows). In retrospect, this finding may relate to carcinoma located posteriorly in breast. Color Doppler imaging showed no blood flow.

 

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