trivia Flashcards

(68 cards)

1
Q

Is nipple enhancement normal on MRI?

A

yes

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2
Q

What is the definition of ‘architectural distortion’?

A

straigtening and tethering of cooper ligament

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3
Q

Shrinking breast should make you think of what disease?

A

invasive, lobular

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4
Q

Where are level I nodes located?

A

I = lateral to pec MINOR

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5
Q

Where are level II nodes located?

A

posterior to pec minor

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6
Q

Where are level III nodes located?

A

medial to pec. minor

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7
Q

Where are rotter nodes located?

A

between pec minor and pec major

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8
Q

What view is the sternalis seen on?

A

CC only

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9
Q

Where is the most common location for ectopic breast tissue?

A

axilla

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10
Q

What days of the cycle is breast MRI and mammo performed?

A

days 7-14

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11
Q

How is a milk fistula treated?

A

stop breast feeding

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12
Q

What does the posterior nipple line need to touch?

A

pectoralis

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13
Q

On CC view, a nipple to chest wall line needs to be within what distance of similarity of the posterior nipple line?

A

within 1 cm

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14
Q

What are the three situations to obtain an LMO rather than MLO?

A

pectus

kypohosis

central line/pacemaker lines

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15
Q

Will medial lesions on the MLO rise or fall on the lateral view?

A

rise (muffins rise)

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16
Q

How many cancers are we trying to find per 1000 mammograms?

A

3-8

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17
Q

Will lateral lesions on the MLO rise or fall on the lateral view?

A

fall

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18
Q

When would a BR2 (multiple bilateral masses) be ultrasounded?

A

if palpable

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19
Q

What are the three categories for mass description?

A

shape

margin

density

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20
Q

What are the three acceptable terms for the shapes of a breast mass?

A

round

oval

irregular

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21
Q

What are the five acceptable terms for the margin of a breast mass?

A

circumscribed

obscured

microlobulated

indistinct

spiculated

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22
Q

What is an asymmetry?

A

density seen only in one view

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23
Q

What is a focal asymmetry? What does it need?

A

density seen in two views

spot compression

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24
Q

What is a global asymmetry?

A

“greater volume of breast tissue than the contralateral side”

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25
When is 'background parenchymal enhancement' characterized?
"first post contrast sequence"
26
What is the size of foci for breast MRI?
< 5mm
27
What is the size of mass for breast MRI?
> 5mm
28
What 'view' for dermal calcs?
tangential
29
When do secretory calcs appear?
10-20 years after menopause
30
What type of calcification is lucent in the center?
egg shell
31
What type of calcification needs to be visualized with a polarized light?
milk of calcium
32
What is Mondor Disease? How is it treated?
superficial thrombophlebitis NSAIDs and warm compress
33
Is enlargement of a lipoma grounds for biopsy?
yes
34
How does phyllodes metastisize?
hematogenous
35
What are the four subtypes of IDC?
1. tubular 2. mucinous 3. medullary 4. papillary
36
What subtype of IDC has a favorable prognosis?
tubular
37
What subtype of IDC can have large axillary nodes?
medullary
38
What subtype of IDC can be cystic and solid?
papillary
39
What subtype of IDC will have a cancer in the contra-lateral breast 10-15% of the time?
tubular
40
What subtype of DCIS is more aggressive, comedo or non-comedo?
comedo
41
Does skin involvement upstage pagets?
No
42
What type of breast cancer is associated with pagets? How other?
DCIS 96% of time
43
What type of breast cancer cells lose e-cadherin?
Lobular
44
How does ILC look like on US?
"shadowing without mass"
45
What are the FIVE high risk lesions that must come out after a positive biopsy?
ADH radial scar ALH LCIS papilloma
46
What imaging modality is used to diagnose saline implant rupture?
mammo
47
What imaging modality is used to diagnose silicone implant rupture?
MR
48
What is an excisional biopsy?
removal of an entire lesion
49
What is an incisional biopsy?
surgical removal of a portion of the lesion
50
What are the three criteria for stage of T4 breast cancer?
any size with : skin involvement chest wall involvement inflammatory
51
What is the size of T1 breast cancer?
< 2 cm
52
What is the size of T2 breast cancer?
2-5cm
53
What is the size of T3 breast cancer?
>5cm
54
What % likelihood does someone need to receive screening breast MRI?
> 20-25%
55
How much chest wall radiation to get screening breast MRI? Starting when? How often?
> 20 Gy age 25 or 8 years after event annual
56
What is the % likelihood screening model name?
Tyrer-Cuzick
57
What is a Type 1 curve plateau?
persistent
58
What is a Type 2 curve plateau?
plateau
59
What is a Type 3 curve plateau?
warshout
60
How does a fibroadenoma look on MR?
T2 bright with non-ehnancing septa
61
Are most T2 bright lesions benign?
yes
62
What two T2 bright lesions are NOT benign on breast MR?
colloid cancer mucinous cancer
63
What are the four cancers that Cowden Syndrome increases the likelihood of?
breast follicular thyroid endometrial Lhermitte-duclos
64
Do pts get copies or actual mammogram?
actual
65
What is the required line pair resolution?
- 13 line pair/mm in anode to cathode direction | - 11 line pair/mm in left to right
66
What three things are required to be shown to pass image quality?
four fibers three micro-calcification clusters three masses
67
What are the three characteristics of a phantom?
- 50% glandularity - 4,2 cm thick - dose of 3 mGy (with grid)
68
Who runs MQSA?
FDA