BI-RADS
Breast MRI
Screening & Risk
Ultrasound & Intervention
Pathology & Implants
100

What BI-RADS category is assigned to a circumscribed, oval, hypoechoic mass with no internal vascularity in a 25-year-old woman on a fist-time screening ultrasound?

What is BI-RADS 0?

Bonus question?

100

Which background parenchymal enhancement (BPE) level is associated with increased breast cancer risk?

What is moderate to marked?

100

Which model includes age, age at menarche, and number of prior biopsies but not BRCA status?

What is the Gail model?

What is the difference between the Gail model and the Tyrer-Cuzick model?

100

A lactating woman with a complex fluid collection and peripheral hyperemia likely has what?

What is a breast abscess?

100

DCIS most commonly presents with what mammographic finding?

What are pleomorphic or linear calcifications?

200

Which BI-RADS margin descriptor is most suspicious for malignancy?

What is spiculated?

200

A patient with segmental, clumped, non-mass enhancement on MRI should be assigned which BI-RADS?

What is BI-RADS 4?

200

What is the primary imaging limitation caused by dense breast tissue?

What is decreased sensitivity of mammography?

200

What is the next best step for a 7 mm oval, circumscribed, palpable hypoechoic mass on diagnostic US?

What is 6-month follow-up (BI-RADS 3)? (outcome of six series of benign-appearing masses on US were the same whether the mass was palpable or nonpalpable)

200

What is the upgrade risk of atypical ductal hyperplasia (ADH) sufficient to justify surgical excision?

What is ~10-30%?

300

A screening mammogram shows bilateral rim calcifications. What is the appropriate BI-RADS category?

What is BI-RADS 2?

300

On breast MRI, what sign indicates significant intracapsular silicone implant rupture?

What is the linguine sign?

300

What is the BI-RADS breast density category for extremely dense breasts?

What is Category D?

300

Which ultrasound feature of an axillary lymph node is most concerning for metastasis?

What is round shape with eccentric cortical thickening?

300

A man with a flame-shaped subareolar density on mammogram most likely has?

What is gynecomastia?

400

A newly detected segmental distribution of fine pleomorphic calcifications is best categorized as?

What is BI-RADS 4?

400

In high-risk patients, MRI screening typically begins at what age?

What is 25 to 30 years old?

400

What lifetime risk (%) qualifies you for annual MRI screening?

Who is a high-risk patient? >20%

400

What’s the appropriate management for a biopsy-related hematoma without active bleeding?

What is supportive care and follow-up?

400

What is a galactocele?

What is the most likely diagnosis for a well-circumscribed breast mass with a fat-fluid level in a postpartum woman?

BI-RADS?

500

What BI-RADS category corresponds to a known biopsy-proven malignancy?

What is BI-RADS 6?

500

Post-biopsy MRI is ideally delayed by how long to reduce overestimation of tumor size?

What is 2 weeks?

500

Which of these calcification morphologies is the most suspicious?

What is fine linear?

500

What benign cystic lesion in a postpartum woman often shows a fat-fluid level on ultrasound?

What is a galactocele?

500

What sign is associated with silicone implant rupture on mammography or ultrasound?

What is the “stepladder” or “snowstorm” sign?

What is the difference?

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