Case 1: Invasive Ductal Carcinoma [lower outer quadrant]
XRM
Spiculated focal asymmetry.
HHUS
Irregular, hypoechoic solid mass. Echogenic halo.
MRI
Irregular, spiculated mass demonstrating suspicious enhancement kinetics.
QTscan®
Irregular, high speed mass.
Case 2: Invasive Ductal Carcinoma [left, lower outer quadrant]
XRM
Focal asymmetry, subtle finding mammographic ally due to adjacent dense breast tissue.
HHUS
Ill-defined, subtle hypoechoic mass detected sonographically.
Posterior acoustic shadowing.
MRI
Irregular, solid mass.
Suspicious enhancement kinetics.
QTscan®
High speed mass is confirmed on QT, extent of disease more precisely mimics that of MRI, larger than area appreciated on mammography or handheld ultrasound.
Case 3: Invasive Ductal Carcinoma [right breast 3:00]
XRM
Irregular, spiculated mass.
Easy to see mammographically due to fatty breast tissue.
HHUS
Irregular, hypoechoic solid mass.
Posterior aspect of the mass not clearly visualized due to posterior acoustic shadowing.
MRI
Irregular, spiculated mass confirmed on with peripheral enhancement.
QTscan®
Spiculation/distortion on reflection.
Mass visualized in its entirety (as opposed to handheld).
High speed.
Spiculations on transmission images; distortion well seen on reflection.
Case 4: Invasive Ductal Carcinoma
XRM
Mass cut off on CC view due to its posterior location and therefore not visualized.
Mass seen in the posteroinferior left breast on MLO view.
HHUS
Solid, hypoechoic mass confirmed sonographically.
Margins poorly visualized on handheld.
MRI
Irregular, suspiciously enhancing mass confirmed on MRI.
QTscan®
Entire mass visualized in the lower inner quadrant posteriorly.
Margins of mass clearly visualized.
Areas of spiculation noted.
Case 5: Invasive Ductal Carcinoma
XRM
Irregular mass at 9:00.
Subtle finding on MG.
HHUS
Solid, hypoechoic, irregular mass confirmed on ultrasound.
Posterior aspect of mass not well visualized due to posterior acoustic shadowing.
MRI
Suspiciously enhancing, irregular mass confirmed on MRI.
QTscan®
Irregular, high speed mass seen on speed images.
Corresponding hypoechoic mass is identified on reflection images.
Distortion well seen on reflection.
Case 6: Mucinous (Colloid) Carcinoma
XRM
Ill-defined, low density focal asymmetry.
Given the low density, may not look very suspicious mammographically.
HHUS
Solid, hypoechoic mass is confirmed sonographically.
Taller than wide.
Echogenic halo.
Posterior acoustic shadowing.
MRI
Irregular, heterogeneously enhancing mass is confirmed.
QTscan®
Low speed mass with high speed irregular periphery.
Spiculation seen on sagittal.
Borders not well visualized.
Irregular margins.
Not cyst.
Case 7: Invasive Ductal Carcinoma
XRM
Focal asymmetry in the area of lump in the upper outer quadrant of the left breast.
HHUS
Hypoechoic, irregular solid mass is confirmed on handheld ultrasound.
MRI
Focal area demonstrating suspicious enhancement kinetics is identified on MRI.
QTscan®
Focal high speed space-occupying lesion.
Closely mimics the extent of disease identified on MRI.
Case 8: Invasive Ductal Carcinoma
XRM
Spiculated mass.
Well seen in background of scattered fibroglandular tissue on mammogram.
HHUS
Large, solid necrotic mass is identified sonographically.
MRI
Heterogeneous mass with central necrosis confirmed on MRI.
QTscan®
Irregular, low speed mass is identified.
Low speed may be due to central necrosis/fluid inside.
Corresponding hypoechoic mass on reflection, margins well seen.
Thick echogenic halo on reflection.
Case 9: Invasive Lobular Carcinoma [left 6:00]
XRM
ILC not seen on Mammogram.
HHUS
ILC not seen on handheld.
MRI
ILC seen on MRI.
Focal linear, branching homogeneous non mass-like enhancement.
QTscan®
ILCA seen on QT.
Fusiform space-occupying lesion noted on QT, looks similar to MRI.
Case 10: Invasive Ductal Carcinoma [left upper inner quadrant]
XRM
Lobulated mass is identified.
Adjacent satellite nodules are not appreciated mammographic ally.
HHUS
Lobulated, hypoechoic solid mass is confirmed on handheld ultrasound.