mammoguide mock boards
DESCRIPTION
MammoGuide presents twelve cases to prepare you for the ABR Diagnostic Radiology oral board examination.TRANSCRIPT
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Mock Oral Boards
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What do you want to do?
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Last Year
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Last Year
What next?
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What is this?
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Case 1 Keys Ask for prior studies
Know workup for a mass (lateral, spot mag, US)
BIRADS 4: Suspicious finding (IDC)
Wire localization prior to lumpectomy
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Image from UofWash Teaching File
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Image from UofWash Teaching File
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Image from UofWash Teaching File
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Case 2 Keys DDx for a fat-containing lesion
(hamar toma, lipoma, oil cyst, galactocele)
Final diagnosis = hamar toma
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What do you want to do?
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Impression?
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Case 3 Keys Workup for a focal asymmetry
(lateral, spot compression and ultrasound)
BIRADS 4: Suspicious finding (IDC)
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What do you want to do?
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Impression?
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Case 4 Keys Workup for left breast calcifications
(lateral, magnification views in CC and ML)
Milk of Calcium BIRADS 2: Benign finding
(layering on the ML view)
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Right Axilla
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Right Axilla
Impression?
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Case 5 Keys Differential diagnosis for bilateral adenopathy
Lymphoma
Rheumatoid / Autoimmune
Granulomatous / Sarcoid
Systemic processes
Metastatic disease (less likely unless diffuse mets)
Milk of Calcium BIRADS 2: Benign finding
(layering on the ML view)
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What do you want to do?
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Impression?
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Does this change anything?
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Case 6 Keys Circumscribed, isoechoic mass
“Probable fibroadenoma, however we biopsy all
new or palpable solid masses”
Contrast enhanced MRI image shows no enhancement
in the mass, consistent with a benign etiology.
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Any questions?
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Impression?
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Case 7 Keys Ask if history of prior surgery and any prior studies
Final diagnosis = Fat necrosis
- coarse, dystrophic calcifications
- extending along surgical scar
- stable from prior studies
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Case 8 Keys
Intra- and extra-capsular silicone implant rupture
- linguine sign
- free silicone
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Impression?
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Case 9 Keys Try to compare to priors
Look at each mass for any suspicious findings
If no new, palpable or suspicious masses and
at least 3 masses + bilateral
= Multiple round masses
BIRADS 2: Benign findings
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Impression?
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Case 10 Keys Linear non-masslike enhancement in the central right
breast is suspicious
BIRADS 4: MRI guided biopsy is recommended
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What do you want to do?
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What next?
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Ultrasound is negative, what do you do?
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What is this?
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Case 11 Keys Subcentimeter mass in the superior left breast requires
additional evaluation.
If no sonographic correlate, need to biopsy
another way. Do stereotactic core biopsy.
Final Dx = IDC
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Case 12 Keys Aunt Minnie appearance:
Neurofibromatosis
- multiple superficial round masses
- nipple deformity
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Good Luck!