Case 44 Answer
Implant patients should have MLO and CC whole breast and implant-displaced views (thus 4 views of each breast instead of 2). This can be performed as either a screening or diagnostic exam. It obviously takes longer and costs more to perform and read, but as of this writing (7/2002) mammography of patients with implants is not reimbursed any more than a patient with no implants.
At this time, screening ultrasound is not recommended for asymptomatic patients with implants.
What about these implants?