Sunday, November 1, 2009

BIRADS SCORE-MAMMOGRAM



Our patient is 73 yr old female presented to us with a solid lump in left breast. Craniocaudal and medio-lateral oblique views of left breast show an asymmetric nodular density in left breast with minimally iregular margins and punctate foci of microcalcifications.Small lymphnodes are seen in left axillary region.

BIRADS Scores
0 Incomplete
Your mammogram or ultrasound didn't give the radiologist enough information to make a clear diagnosis; follow-up imaging is necessary
Need to review prior studies and/or complete additional imaging
1 Negative
There is nothing to comment on; routine screening recommended
Continue routine screening
2 Benign
A definite benign finding; routine screening recommended
Continue routine screening
3 Probably Benign
Findings that have a high probability of being benign (>98%); six-month short interval follow-up
Short-term mammogram follow up at 6 mths, then every 6-12 mths for 1-2 yrs
4 Suspicious Abnormality
Not characteristic of breast cancer, but reasonable probability of being malignant (3 to 94%); biopsy should be considered
Perform biopsy, preferably needle biopsy
5 Highly Suspicious of Malignancy
Lesion that has a high probability of being malignant (>= 95%); take appropriate action
Biopsy and treatment as necessary.
6 Known Biopsy Proven Malignancy
Lesions known to be malignant that are being imaged prior to definitive treatment; assure that treatment is completed

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