Case Study #4

Case Study: #4

Pathology: – Benign calcification

Click To Enlarge Images

Patient has a palpable mass. Cranio-caudal view shows apparently benign calcifications.

Axial, sagittal and coronal views show multiple avascular areas of density on the mammogram. The 3-D frontal view shows, between 11 o’clock and 3 o’clock, lucency with overlying visible reconstruction lines, a strong indication that there is only a thin slice of breast tissue over an avascular probably (cystic) area.

The blue arrow shows the avascular area. The large avascular area. This is almost certainly cystic, not fat, because fat would be radiolucent on the mammogram whereas cysts are opaque (as on the cc mammographic view).

Surface Rendering shows what appears to be the cystic area 3 dimensionally. Note that the remainder of the breast is very vascular, probably because of redistribution of flow from the vascular cystic area.

Cranio-Caudal “cut-away” CTLM view (surface rendered) demonstrates what appears to be a cyst very clearly.