Thread by @DrJordanaP

Case2 of #breastradpath with @LizaMQuintana

40 yo with focal asymmetry in rt breast on screening mg (blue arrows). See descriptions below all images.

#radres #radfellows #breastimaging #breastpath #pathology #breastmulti @BIDMC_BreastImg @BIDMCpath @DrTedJames

Patient returned for diagnostic #contrastmammo which confirmed focal asymmetry (blue arrows) & showed non-mass enhancement (NME) on recombined images (yellow arrows). US showed correlate. USG core done and post-MG confirmed target (yellow arrows).

Calling all breast docs, what is your differential diagnosis? BI-RADS? Next steps??

Any other takers? Pathology will be presented shortly...

Here's the #breastpath for Case2. Breast pathologists, what are your thoughts?? Is this concordant? Anything else you want to know?

So the pathologists have weighed in! Check out @LizaMQuintana response below 👇

https://twitter.com/LizaMQuintana/status/1308860808558981120?s=20

Does this pathology explain the finding?? Is this concordant? Final mgmt. and teaching points coming tomorrow!!

@LizaMQuintana From the Rad perspective -- PASH explained the imaging finding for Case #2. Because PASH is benign, we returned the patient to screening.

Check out radiology and pathology teaching points for #breastradpath Case #2

#radres #radfellows #breastimaging #breastpath #breastmulti

Here are some articles that discuss PASH and echogenic breast masses. Full links below 👇

bit.ly/366UUf3
bit.ly/33YqWap
bit.ly/340EPoE

For those interested in checking out the case in full, you can find it at the link below. Enjoy!

threadreaderapp.com/thread/1308082…