BI-RADS5QuickReferenceCard.pdfVIP

Tissue composition (screening only) ULTRASOUND a. Homogeneous background echotexture – fat b. Homogeneous background echotexture – fibroglandular c. Heterogeneous background echotexture Masses Calcifications Associated features Special cases Shape Oval Round Irregular Orientation Parallel Not parallel Margin Circumscribed Not circumscribed - Indistinct - Angular - Microlobulated Echo pattern - Spiculated Anechoic Hyperechoic Complex cystic and solid Hypoechoic Isoechoic Heterogeneous Posterior features No posterior features Enhancement Shadowing Combined pattern Calcifications in a mass Calcifications outside of a mass Intraductal calcifications Architectural distortion Duct changes Skin changes Skin thickening Skin retraction Edema Vascularity Absent Internal vascularity Elasticity assessment Vessels in rim Soft Intermediate Hard Simple cyst Clustered microcysts Complicated cyst Mass in or on skin Foreign body including implants Lymph nodes – intramammary Lymph nodes – axillary Vascular abnormalities AVMs (arteriovenous malformations/ pseudoaneurysms) Mondor disease Postsurgical fluid collection Fat necrosis ACR BI-RADS? Atlas Fifth Edition QUICK REFERENCE MAMMOGRAPHY Breast composition a. The breasts are almost entirely fatty b. There are scattered areas of fibroglandular density c. The breasts are heterogeneously dense, which may obscure small masses d. The breasts are extremely dense, which lowers the sensitivity of mammography Masses Shape Oval Round Irregular Margin Circumscribed Obscured Microlobulated Indistinct Spiculated Density High density Equal density Low density Fat-containing Calcifications Typically benign Skin Vascular Coarse or “popcorn-like” Large rod-like Round Rim Dystrophic Milk of calcium Suture Suspicious Amorphous morphology Coarse heterogeneous Fine pleomorphic Fine linear or fine-linear branching Distribution Diffuse Regional Grouped Linear Segmental Architectural distortion Asymmetries Asymmetry Global asymmetry Focal asymmetry Dev