Analysing a mammogram

Analysing a mammogram

1. Masses

   • Density
     • Fat density
       • Oil cysts
       • Galactocele
       • Lipoma
     • Mixed fat and water density
       • Hamartomas
       • Intramammary lymph node

2. Margins

   • Spiculated
     • Breast ca
     • Fat necrosis
     • Scars
     • Radial scars
   • Ill distinct
     • Abscess
     • Spontaneous haematoma
   • Well defined
     • Simple cysts
     • Fibrosis
     • Fibroadenoma
     • Primary breast malignancies
     • Lymphoma
     • Metastatic disease

3. Location

4. Size

5. Calcifcations

   • Benign Calcification
     • Lucent centre
     • Egg shell
     • Layered "sediment" calcium
     • Tubular arterial calcification
     • Large coarse calcifications
     • Thick linear calcifications
     • widely scattered / bilateral
   • Malignant calcification
     • jagged and irregular
     • branching
     • pleomorphic: dot-dash
     • Punctate or granular
     • tight clusters/single segement
     • Microcalcifcations
   • Indeterminate calcifications

6. Architecture

7. Density

   • Increased
     • HRT
     • Inflammatory carcinoma
     • Radiation therapy
     • Diffuse mastastitis
     • Obstruction

8. Adenopathy

   • Benign
   • Pathlogical
     • Enlarged
     • Loss of fat
     • Calcifications