Case 17 continued

This patient had a known diagnosis of lymphoma at the time this mammogram was taken. If we had not known this, then a breast primary with nodal involvement would have been possible, but we do not see any abnormality on the mammogram that might be a primary tumor. The nodes seen are markedly abnormal, the fatty hila almost completely effaced. This finding would be very unusual for a benign reactive node.

One year later, s/p chemotherapy:

What is your assessment?

• BI-RADS 1 - Normal
• BI-RADS 2 - Benign
• BI-RADS 3 - Probably Benign
• BI-RADS 4 - Suspicious
• BI-RADS 5 - Highly Suggestive of Malignancy