Nasim R. Khadem MD, Presenter: Nothing to Disclose

Sravanthi Reddy MD, Abstract Co-Author: Nothing to Disclose

Sandy Chia-En Lee MD, Abstract Co-Author: Nothing to Disclose

Linda Hovanessian-Larsen MD, Abstract Co-Author: Nothing to Disclose

Daphne Kim Walker MD, Abstract Co-Author: Nothing to Disclose

1) Review the presentation, pathophysiology, imaging, and management of emergency breast cases and common breast pathology seen in the ED. 2) Understand the limitations of breast imaging in the acute setting, and know when to refer to a specialty breast center for further management.

I. Intro A. Breast development/anatomy B. Disease processes of the breast commonly present in the ED, and it is essential that the radiologist understand the imaging and management of the most common entities. An understanding of any limitations in the acute setting is especially important, as is knowing when referral to a specialty breast center is necessary. II. ED/emergency breast cases: will include discussion on pathophysiology/imaging of each case below, with particular focus on treatment and management. Will also include select case examples from our institution. A. Inflammatory/infectious: Mondor's disease, granulomatous mastitis, puerperal/non-puerperal mastitis B. Blunt/penetrating trauma: contusions/hematomas, seatbelt injuries, stab wounds C. Implant complications: rupture, infection D. Post-procedural complications: pseudoaneurysm following stereotactic biopsy E. Mimics: granulomatous mastitis as mimicker of cancer, gynecomastia (secondary to drugs, obesity), newborn breast masses (secondary to maternal hormones)

http://abstract.rsna.org/uploads/2014/14003388/14003388_g2s3.pdf

Khadem, N, Reddy, S, Lee, S, Hovanessian-Larsen, L, Walker, D, ED Breast Cases and Other Breast Emergencies.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14003388.html