Mammographically screen-detected asymmetric densities with architectural distortion and normal ultrasound at assessment: Value of MRI as a problem-solving tool

J Med Imaging Radiat Oncol. 2015 Jun;59(3):312-9. doi: 10.1111/1754-9485.12281. Epub 2015 Feb 23.

Abstract

Four cases are presented in which asymptomatic clients from an Australian mammography screening programme (BreastScreen ACT) were recalled for assessment of an asymmetric density with possible architectural distortion. In all four women, mammographic work-up was equivocal and ultrasound showed no suspicious correlate for biopsy. It was then doubtful as to whether any significant lesion was present. In all four cases, MRI revealed the presence of malignancy. Breast MRI can be a useful problem-solving tool in the work-up of such cases.

Keywords: architectural distortion; asymmetric density; problem-solving breast MRI; screening mammography.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Artifacts*
  • Breast Neoplasms / diagnosis*
  • Densitometry / methods*
  • Female
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Middle Aged
  • Pregnancy
  • Problem Solving
  • Reference Values
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Ultrasonography, Mammary / methods*