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Using Sonography to Screen Women with Mammographically Dense Breasts

Pavel Crystal1,2, Selwyn D. Strano2,3, Semyon Shcharynski2 and Michael J. Koretz2

1 Department of Radiology, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, P. O. Box 151, Beer Sheba, Israel.
2 Comprehensive Breast Center, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheba, Israel.
3 Present address: The Rachel Nash Jerusalem Comprehensive Breast Clinic, Bet-Ofer, 5 Nachum Heftzadi St., Jerusalem, 95484 Israel.



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  		Fig. 1A. —67-year-old woman with dense Breast Imaging Reporting and Data System (BI-RADS) [14] category 3 breast tissue. Mediolateral oblique (A) and craniocaudal (B) screening mammograms reveal no abnormalities.

 


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  		Fig. 1B. —67-year-old woman with dense Breast Imaging Reporting and Data System (BI-RADS) [14] category 3 breast tissue. Mediolateral oblique (A) and craniocaudal (B) screening mammograms reveal no abnormalities.

 


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  		Fig. 1C. —67-year-old woman with dense Breast Imaging Reporting and Data System (BI-RADS) [14] category 3 breast tissue. Screening sonogram shows solid hypoechoic mass that measures 9 mm wide by 5 mm high. Angular margins (arrows) between mass and surrounding tissues are suspicious for malignancy. Sonographically guided biopsy (not shown) revealed invasive ductal carcinoma.

 


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  		Fig. 1D. —67-year-old woman with dense Breast Imaging Reporting and Data System (BI-RADS) [14] category 3 breast tissue. Right mediolateral (D) and right craniocaudal (E) mammograms obtained after sonographically guided wire localization show uniformly dense breast tissue with no evidence of mass in hookwire area.

 


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  		Fig. 1E. —67-year-old woman with dense Breast Imaging Reporting and Data System (BI-RADS) [14] category 3 breast tissue. Right mediolateral (D) and right craniocaudal (E) mammograms obtained after sonographically guided wire localization show uniformly dense breast tissue with no evidence of mass in hookwire area.

 

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