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Search Results for => Breast <= Result Items 1 - 20
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Case ID: 13902

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DiagnosisBreast Cancer, Metastatic to orbit and brain
History57 year old woman with a known diagnosis has developed right eye proptosis and pain
Findings• Large mass destroying the right orbital rim with extension into orbit, middle cranial fossa, and infratemporal fossa • Second smaller mass right frontal bone. • Both masses enhance homogeneously.
Differential Dx• Thyroid metastatic disease • GI Metastatic disease • Renal metastatic disease • Breast Cancer metastatic disease • Melanoma metastasis
Discussion ... (continues ...)
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ContributorSteven J Goldstein :: University of Kentucky - Author Info
ReviewerJames G. Smirniotopoulos, M.D. :: Uniformed Services University - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 13894

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DiagnosisBreast Cancer, Metastatic to brain and temporal bone
History37 year old woman presents with a left facial nerve palsy (CN VII). She has a PMHx of Breast cancer.
Findings• Destructive lesion left petrous apex. • Temporal lobe brain lesion with intra-tumoral hemorrhage.
Differential Dx• Abscess & Osteomyelitis • Chondrosarcoma • Metastasis - Breast cancer, Melanoma, etc
Discussion ... (continues ...)
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ContributorSteven J Goldstein :: University of Kentucky - Author Info
ReviewerJames G. Smirniotopoulos, M.D. :: Uniformed Services University - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 13304

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DiagnosisInflammatory Breast Cancer (Secondary)
HistoryPrior invasive ductal carcinoma with new onset painful, red right Breast.
FindingsCC and MLO mammograms demonstrate asymmetrically dense right Breast parenchyma without evidence of a focal mass or architectural distortion. T2 and T1 pre and post gad and subtracted axial images of the Breast demonstrate too numerous to count enhancing masses in the right Breast parenchyma and skin with marked skin thickening.
Differential DxMastitis or Breast abscess Leukemic involvement of the Breast Ductal ectasia
Discussion ... (continues ...)
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ContributorDavid Heltzel :: National Capital Consortium - Author Info
ReviewerClaudia E Galbo :: Uniformed Services University - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 12994

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DiagnosisInflammatory Breast carcinoma
History45 y.o. woman with newly diagnosed Breast cancer
FindingsIncreased soft tissue uptake of radiotracer throughout the left Breast on delayed phase imaging.
Differential Dx
Discussion ... (continues ...)
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ContributorJohn William Jaco :: National Capital Consortium - Author Info
ReviewerClaudia E Galbo :: Uniformed Services University - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 12783

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DiagnosisBreast Hemangioma
HistoryAsymptomatic
FindingsAn ovoid mass with microlobulated borders is noted on mammography.
Differential DxMucious tumor of the Breast Breast hemangioma Breast cancer
Discussion ... (continues ...)
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ContributorRobert A Jesinger M.D. :: David Grant USAF Medical Center - Author Info
ReviewerAlbert V Porambo :: Civilian Medical Center - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 12757

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DiagnosisSiliconomas: Silicone granulomas from silicone Breast augmentation
HistoryUndergoing Screening Mammography
FindingsBilateral CC and MLO mammograms demonstrate innumerable round rim hyperdense foci throughout both Breasts.
Differential DxSilicone Injection Granulomas Steatocystoma multiplex Multiple oil cysts (prior Breast trauma, vasculitis)
Discussion ... (continues ...)
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ContributorEvan Moser :: David Grant USAF Medical Center - Author Info
ReviewerRobert A Jesinger M.D. :: David Grant USAF Medical Center - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 12756

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DiagnosisDuctal Carcinoma in Situ (DCIS), Breast Calcification on Mammogram
HistoryUnderwent diagnostic mammography for palpable abnormality in the left Breast
FindingsCC and Mag CC view of the left Breast demonstrates branching pleomorphic micocalcifications throughout the left Breast
Differential DxDCIS IDC
Discussion ... (continues ...)
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ContributorEvan Moser :: David Grant USAF Medical Center - Author Info
ReviewerRobert A Jesinger M.D. :: David Grant USAF Medical Center - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 12754

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DiagnosisInfiltrating Ductal Carcinoma of the Breast
HistoryShe presented to the ER with left Breast “abscessâ€; prior evaluation in 2005 revealed left Breast infiltrating ductal carcinoma; she decided to forgo treatment as she needed to care for other ill family members
FindingsMammography and ultrasound demonstrates a large spiculated mass in the superior left Breast.
Differential DxBreast Cancer Fat Necrosis Hematoma Phlegmon
Discussion ... (continues ...)
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ContributorEvan Moser :: David Grant USAF Medical Center - Author Info
ReviewerRobert A Jesinger M.D. :: David Grant USAF Medical Center - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 12708

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DiagnosisPseudoangiomatous stromal hyperplasia of Breast
HistoryShe "felt a lump" under her left Breast; she has a history of bilateral reduction mammoplasty six years earlier (without complication).
FindingsMammography (fig 1) demonstrates an ovoid mass in the inferior left Breast. Left Breast ultrasound (fig 2) demonstrates a wider-than-tall 1.8cm ovoid mass with macrolobulated borders and echotexture similar to surrounding adipose tissue.
Differential DxFibroadenoma Infarcting Adenoma or Lipoma Breast cancer PASH
Discussion ... (continues ...)
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ContributorRobert A Jesinger M.D. :: David Grant USAF Medical Center - Author Info
ReviewerAlbert V Porambo :: Civilian Medical Center - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 12699

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DiagnosisBreast Cancer, Metastatic
History41 year old woman diagnosed with Breast cancer 1 year prior to admission. Presents with headache
FindingsVasogenic edema surrounding a ring enhancing mass right parietal lobe.
Differential Dx• Astrocytoma • Tumefactive MS • Abscess • GBM • Metastasis
Discussion ... (continues ...)
User Group
ContributorSteven J Goldstein :: University of Kentucky - Author Info
ReviewerJames G. Smirniotopoulos, M.D. :: Uniformed Services University - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 12484

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DiagnosisBreast, Papillomatosis
HistoryThis 40 y.o. woman presents with discharge from the right Breast nipple.
FindingsUltrasound of the inner portion of the right Breast demonstrates a large cystic focus with multiple small lobulated hypoechoic regions with internal blood flow.
Differential DxPapilloma Papillomatosis Papillary carcinoma Metastatic disease Abscess Hematoma
Discussion ... (continues ...)
User Group
ContributorNicholas Lange :: National Capital Consortium - Author Info
ReviewerClaudia E Galbo :: Uniformed Services University - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 12316

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DiagnosisIntracapsular rupture of silicone Breast implant
History25 year old woman with trauma to right Breast.
FindingsMR images of the right Breast demonstrate a fine serpentine low signal intensity linear band within the silicon implant.
Differential Dxintracapsular rupture extracapsular rupture artifact
Discussion ... (continues ...)
User Group
ContributorBrad L Kocher :: National Capital Consortium - Author Info
ReviewerAlbert V Porambo :: Civilian Medical Center - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 12119

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DiagnosisBreast Cancer, Metastatic
History51 year old female with a five month history of left hip pain and a history of Breast cancer.
FindingsRadiographs of the pelvis and left hip demonstrate a large lytic lesion involving the superior and inferior left pubic rami with ill defined margins and cortical disruption along the superior aspect of the medial superior pubic ramus. The fluoroscopic image is taked from a percutaneous biopsy of the lesion with the biopsy needle centerd on the lesion within the left superior pubic ramus.
Differential DxMetastatic disease Plasmacytoma
Discussion ... (continues ...)
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ContributorJeremiah R Long :: Walter Reed National Military Medical Center - Author Info
ReviewerErik S Storm :: Uniformed Services University - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 12087

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DiagnosisMalignant pleural effusion Metastatic disease (Breast vs. NSCLC) Pulmonary embolism
History62 year old male with respiratory distress.
FindingsMultiple filling defects in the pulmonary arteries.
Differential DxFilling defects in the pulmonary arteries are indicitive of pulmonary emboli.
Discussion ... (continues ...)
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ContributorMariusz A Olszewski :: National Capital Consortium - Author Info
ReviewerAlbert V Porambo :: Civilian Medical Center - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 11994

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DiagnosisBreast Implant Normal Mammographic Findings: Single Lumen Saline
HistoryScreening mammogram for an asymptomatic patient
FindingsMediolateral Oblique (MLO) and craniocaudal (CC) mammograms demonstrate subglandular (prepectoral) single lumen saline-containing Breast implants: McGhan Style 468. The devices have a lightly textured surface (Biocell). Digital mammograms courtesy of Donna Plecha, MD and Ramya Pham, MD, University Hospitals Case Medical Center, Cleveland.
Differential DxThere are 14 types of Breast implants that have been described (see references). Of these types, the most common are: 1. Single lumen saline 2. Single lumen silicone gel 3. Standard double lumen (saline outer; silicone inner) 4. Reverse double lumen (silicone outer; saline inner)
Discussion ... (continues ...)
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ContributorMichael P. McNamara, Jr., M.D. LTC USAR :: Uniformed Services University - Author Info
ReviewerAlbert V Porambo :: Civilian Medical Center - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 11976

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DiagnosisBreast Cancer, Metastatic
HistoryKnown Breast CA, with recent bone scan suggestive of metastatic focus in the left femur.
Findings3 cm cortical mid-diaphyseal lytic bone lesion within the left femur. There is a thin cortical rim.
Differential DxMetastatic disease Primary bone malignancy
Discussion ... (continues ...)
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ContributorAmit Kumar Sanghi :: National Capital Consortium - Author Info
ReviewerAlbert V Porambo :: Civilian Medical Center - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 11863

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DiagnosisBreast Abscess
History44 year old female presented with a painful, red, swollen right Breast.
FindingsMetallic BB marker placed on skin abnormality right Breast lower inner quadrant. Targeted ultrasound exam showed a 2.0 x 2.8 cm irregular complex hypoechoic cystic mass with overlying skin thickening. Mammogram showed a 2.0 cm ill-defined density, surrounding interstitial edema, and overlying skin thickening.
Differential DxBreast Abscess
Discussion ... (continues ...)
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ContributorKaren R Craig :: National Capital Consortium - Author Info
ReviewerClaudia E Galbo :: Uniformed Services University - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 11763

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DiagnosisBreast Cancer, Metastatic to brain
History60 year old woman recently diagnosed with Breast cancer and just beginning chemotherapy. Patient had a seizure and was admitted to outside hospital. CT scan revealed left parietal lobe mass.
FindingsEnhancing mass left parietal lobe with surrounding vasogenic edema.
Differential Dx• Primary glioma • Meningioma • Metastatic disease
Discussion ... (continues ...)
User Group
ContributorSteven J Goldstein :: University of Kentucky - Author Info
ReviewerJames G. Smirniotopoulos, M.D. :: Uniformed Services University - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 11712

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DiagnosisBreast Hamartoma (Fibroadenolipoma)
Historyscreening mammogram
FindingsStandard CC and MLO views demonstrate a large mixed density mass is present in the retroglandular region, posterior third left upper inner Breast. It has both fat density and glandular components and appears to be encapsulated.
Differential DxHamartoma (Fibroadenolipoma) Lipoma Galactocele
Discussion ... (continues ...)
User Group
ContributorNeel Vaidya :: National Capital Consortium - Author Info
ReviewerAlbert V Porambo :: Civilian Medical Center - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
Case ID: 10724

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DiagnosisMetastatic ductal carcinoma (Breast)
History60 year old woman with PMH of T1bN0M0 Breast CA and melanoma, both 9 years ago. S/P lumpectomy, XRT, Tamoxifen, local excision. Presents with 3 months of early satiety and nausea. Additional complaint of blurred vision when looking to her left while driving for 1 week.
FindingsMultiple liver lesions replacing approximately 80% of liver volume. Multiple lesions of brain parenchyma in bilateral parietooccipital regions with diffuse enhancement of overlying skull and dura.
Differential DxMetastatic disease - Melanoma Metastatic disease - Ductal Breast CA
Discussion ... (continues ...)
User Group
ContributorLucas Johnson :: Uniformed Services University - Author Info
ReviewerLes R Folio :: Uniformed Services University - Editor Info
Case Accepted: 2011-05-06 14:07:02-04 :: Revised: 2011-05-06 14:05:00.726649-04 :: Submitted: 2011-05-05 12:29:57.411725-04
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