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Training Collections
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Black Friday Save 30%On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Black Friday Save 30%Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
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Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
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Dr. Resnick's MSK Conference
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Lower Extremities MRI Conference
Musculoskeletal Imaging
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Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
1 topic, 2 min.
2 topics, 5 min.
5 topics, 33 min.
3 topics, 14 min.
8 topics, 28 min.
4 topics, 20 min.
4 topics, 25 min.
22 topics, 1 hr. 17 min.
BI-RADS Assessment Categories – Overview
11 m.BI-RADS 1
5 m.BI-RADS 2 – Left Lumpectomy
4 m.BI-RADS 2 – Right Lumpectomy, Right Non-Enhancing Mass
2 m.BI-RADS 2 – Left Post Excisional Biopsy Change
3 m.BI-RADS 2 – Marked BPE, Stable
3 m.BI-RADS 2 – Bilateral Stable Findings
4 m.New focus of enhancement on a high risk patient (BI-RADS 4)
3 m.BI-RADS 3 – Changing Pattern of Background
2 m.BI-RADS 4 – Linear NME, Left Breast
4 m.BI-RADS 4 – Right Extensive DCIS, Left Dominant Focus
4 m.BI-RADS 4 – New Diagnosis Left Cancer, Focal NME left
3 m.BI-RADS 4 – New Diagnosis Right Breast Cancer, Nodes on Right
5 m.BI-RADS 4 – Left Axillary Node Metastasis, Evaluate for Breast Cancer
3 m.BI-RADS 5 – Suspicious Mass in Left Breast, Not Biopsied Yet
5 m.BI-RADS 5 – Left Breast Cancer, MRI Shows Right Cancer
5 m.BI-RADS 5 – New Diagnosis Right Cancer, Suspicious Masses in Right Breast
3 m.BI-RADS 5 – Right Inflammatory Cancer, Bilateral Nodes
4 m.BI-RADS 6 – Right Breast Cancer, No Other Findings
3 m.BI-RADS 6 – Left Breast Cancer, No Other Findings
2 m.BI-RADS 6 – Left Breast Cancer, Index Mass
4 m.BI-RADS 6 – Pre and Post Neoadjuvant Chemotherapy (NAC) for Left Breast Cancer
5 m.0:01
Our next case is a 50-year-old woman with
0:05
a recent diagnosis of left breast cancer.
0:08
Three biopsies had already been performed,
0:11
all showing cancer, and we were doing the
0:16
MRI for evaluation of extent of disease.
0:20
So this is our MIP for this patient,
0:24
basically showing a large area of
0:26
segmental enhancement in the left breast.
0:30
Pull in some of our other images
0:34
just to show those, and she has
0:36
heterogeneous fibroglandular tissue.
0:38
Her background parenchymal enhancement is,
0:41
relatively mild, but then we get into this
0:44
segmental non-mass enhancement on the left side,
0:50
and this covers a large area.
0:54
Let's see here,
0:58
most of the lateral aspect of her breast.
1:04
Some of it is more distorted and mass-like.
1:07
The rest of it is more non-mass, and then
1:12
she had, she had already had a few different
1:17
biopsies, and they were all positive for
1:20
breast cancer, and mastectomy was planned.
1:26
Most of what we were doing was screening
1:29
the other side, and she did have, she
1:32
did have a few foci of enhancement.
1:38
Nothing really stood out, and no
1:42
additional biopsies were recommended.
1:44
So this is considered, uh, BI-RADS 6 exam.
Interactive Transcript
0:01
Our next case is a 50-year-old woman with
0:05
a recent diagnosis of left breast cancer.
0:08
Three biopsies had already been performed,
0:11
all showing cancer, and we were doing the
0:16
MRI for evaluation of extent of disease.
0:20
So this is our MIP for this patient,
0:24
basically showing a large area of
0:26
segmental enhancement in the left breast.
0:30
Pull in some of our other images
0:34
just to show those, and she has
0:36
heterogeneous fibroglandular tissue.
0:38
Her background parenchymal enhancement is,
0:41
relatively mild, but then we get into this
0:44
segmental non-mass enhancement on the left side,
0:50
and this covers a large area.
0:54
Let's see here,
0:58
most of the lateral aspect of her breast.
1:04
Some of it is more distorted and mass-like.
1:07
The rest of it is more non-mass, and then
1:12
she had, she had already had a few different
1:17
biopsies, and they were all positive for
1:20
breast cancer, and mastectomy was planned.
1:26
Most of what we were doing was screening
1:29
the other side, and she did have, she
1:32
did have a few foci of enhancement.
1:38
Nothing really stood out, and no
1:42
additional biopsies were recommended.
1:44
So this is considered, uh, BI-RADS 6 exam.
Report
Description
Faculty
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
Tags
Women's Health
Neoplastic
MRI
Breast
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