The purpose of this exhibit is:
1. To review the possible MRI finings in the screening and diagnostic studies with US correlation.
2. To illustrate the second look US findings in both of these populations, emphasizing how subtle US malignant lesions can be.
3. To present the Imaging- Pathologic correlation.
1- Background of screening and diagnostic MRI indications recommended by ACR currently.
2. Description and illustration of the MRi findings in both of these populations. US findings will be shown and described following the latest BIRADS Lexicon with emphasis in the importance of a correct location correlation (patient prone versus supine)
3- Differential diagnosis based on clinical and imaging findings will be discussed.
4- Pathologic correlation will be presented. This will include benign and malignant lesions.
The main teaching points of this presentation will be:
1. The importance of an accurate MRI and US correlation of the findings.
2. Mass-like and Non mass-like lesions can generally be seen on second- look US.
3. US findings can be very subtle specially in the high risk population.
4. MRI masses do not always correlate with a sonographic discrete mass well seen in orthogonal planes
5.The US correlate may show some benign appaearing characteristics and still represent a carcinoma.
Nasute Fauerbach, P,
Perez, S,
Sebastian, A,
Pictorial Review of Second-look Ultrasound Findings with MRI and Pathologic Correlation. Radiological Society of North America 2013 Scientific Assembly and Annual Meeting, December 1 - December 6, 2013 ,Chicago IL.
http://archive.rsna.org/2013/13018161.html