Mamms

Question 1

Is nipple enhancement on contrast MRI normal?

Answer 1

Yes

Question 2

What rib space does the nipple usually overlie?

Answer 2

4th

Question 3

What is the axillary extension of the breast tissue called?

Answer 3

Tail of spence

Question 4

Where do breast cancers most commonly start? Quadrent?

Answer 4

Upper Outter

Question 5

What hold the breast up

Answer 5

Coopers Ligiments

Question 6

Asymmetric breast should bring up what pathology?

Answer 6

Invasive Lobular breast CA

Question 7

Dilated portion of the “Major duct” is called what?

Answer 7

Lactiferous sinus

Question 8

60% of the blood flow to the breast is from where?

Answer 8

Internal Mammary

Question 9

97% of lymph drains where? (From the breast)

Answer 9

Axilla

Question 10

Axillary Lymph nodes (Level 1, Level 2, Level 3, Rotter) are located where? (Mamms)

Answer 10

Direction of flow 1 , 2, 3. 
1: Lateral to Pec Minor
2: Under Pec Minor
3: Medial and superior to pec minor
Rotter: Between Pec minor and major

Question 11

Mets to the internal mammary nodes from breast CA usually from CA located where?

Answer 11

Medial Breast. Very bad.

Question 12

Sternalis is seen where and on which view? Usually unilateral or bilateral?

Answer 12

Only on CC next to the sternum. Unilateral

Question 13

Most common location of ectopic breast tissue

Answer 13

Axilla

Question 14

Second most common location for ectopic breast tissue

Answer 14

Inframammary fold

Question 15

Ductal elongation and proliferation is from what hormone?

Answer 15

Estrogen

Question 16

Lobule proliferation is from what hormone?

Answer 16

Progesterone

Question 17

Best time to have Mammo (relative to phase of cycle?)

Answer 17

Follicular phase 7-14 days

Question 18

Beast time to have breast MRI? (relative to phase of cycle?)

Answer 18

Follicular phase 7-14 days

Question 19

Most cancers start in the breast in what structure?

Answer 19

TDLU

Question 20

When is breast tenderness maxed in the cycle?

Answer 20

27-30 day

Question 21

Peak time (in years) for breast pain and cyst formation?

Answer 21

Perimenopause (50s)

Question 22

What will happen to fibroadenomas in menopause?

Answer 22

Will degerate with popcorn calcifications

Question 23

Secretory calcifications will develop when?

Answer 23

10-20 years post menopause (Rod Like)

Question 24

When is breast density the most in pregnancy?

Answer 24

Third Trimester

Question 25

What can increase breast density bilaterally besides pregnancy?

Answer 25

Prolactinoma or medications (antipsychotics)

Question 26

Can you biopsy a lactating breast?

Answer 26

Yes but may cause milk fistula

Question 27

What is aunt minnie look for a galactocele?

Answer 27

Fat fluid level

Question 28

What can happen to fibroadenomas with a patient on ERT

Answer 28

They can grow, FAs love to drink estrogen

Question 29

Describe the look of lactating adenoma

Answer 29

Like Fibroadenomas. Usually Multiple. 4-6 post partum follow up. Usually regress after cessation of lactation.

Question 30

How often do you have to do processor quality contorl?

Answer 30

Daily

Question 31

How often do you have to do phantom images?

Answer 31

weekly

Question 32

How often do you have to do screen film contact?

Answer 32

semiannually

Question 33

How often do you have to do the visual checklist?

Answer 33

Monthly

Question 34

What is the size for stage I breast cancer?

Answer 34

< 2 cm

Question 35

What is the size for Stage IIa

Answer 35

<5 cm but > 2cm with no nodes

Question 36

What is the size for Stage IIb

Answer 36

<5 but >2cm with mets to ipsilater nodes OR >5 with no nodes

Question 37

What is papillary carcinoma's appearance on ultrasound?

Answer 37

Complex cystic mass

Question 38

When do you need to use an LMO view?

Answer 38

Pectus, Kyphosis or to avoid a medial pacemaker lead

Question 39

How can you describe a shape of a mass on mammography?

Answer 39

Round, oval, irregular

Question 40

How can you describe the margin of a mass on mammo?

Answer 40

Circumscribed, obscured, microlobulated, indistinct, spiculated (COMIS)

Question 41

How can you describe density of a mass on mammo?

Answer 41

fat, hypo, iso, or hyper

Question 42

What is a mammo asymmetry?

Answer 42

Only seen in 1 view

Question 43

What is a mammo global asymmetry?

Answer 43

greater volume of breast tissue

Question 44

what is a mammo focal asymmetry?

Answer 44

two projections

Question 45

What is a mammo developing asymmetry?

Answer 45

Wasn't there before

Question 46

How do you describe the margin of a mass on ultrasound for mamms?

Answer 46

Circumscribed, indistinct, angular, microlobulated, spiculated

Question 47

What is the "foci" size for mamms MR?

Answer 47

< 5mm

Question 48

What is the mass size for mamms MR?

Answer 48

>5mm

Question 49

How can you describe the margin on mamms mr?

Answer 49

circumscribed, irregular, spiculated

Question 50

What are internal enhancement patterns for mamms mr?

Answer 50

homogenous, heterogenous, rim and dark internal septation

Question 51

How can you describe the distribution of NMLE in mamms?

Answer 51

Focal, linear, linear branching, segmental, regional, multiple regional, diffuse

Question 52

How can you describe the internal enhancement for NMLE?

Answer 52

Homogenous, heterogenous, stippled, clumped, clustered ring

Question 53

DDX for amorphous ca on mamms

Answer 53

Fibrocystic change (most likely) sclerosing adenosis columnar cell change DCIS

Question 54

DDX for course heterogenous calcs on mamms

Answer 54

Fibroadenoma Papilloma fibrocystic change DICS

Question 55

DDX for fine pleomorphic calcifications

Answer 55

``` DCIS (Rest less likely) fibrocystic change fibroademoma papilpoma ```