This is a perfect example of how we use multi-modality tools the same day of the patient visit to reduce the instances of “false positives” and increase accuracy in diagnosis in breast care.
Even the latest and greatest technology often isn’t enough on it’s own.
That’s why having expert specialists onsite with access to multiple diagnostic modalities provides such a immediate, accurate and reassuring service to the patient.
The patient presented with a history of breast cancer (diagnosed two years prior) that had been treated with left inferior lumpectomy and radiation. A post-treatment MRI showed a 5 mm enhancing focus left upper outer. Patient had a negative mammogram. Mother had breast cancer at age 60. A high resolution bi-lateral 3T breast MRI was performed with a dedicated diagnostic breast coil. An expert women’s imaging radiologist interpreted the MRI while the patient was still onsite. In addition to the MRI, our radiologist immediately suggested and performed a targeted ultrasound of the left upper quadrant to further evaluate the 4-5 mm nodule that was enhancing under MRI. Below are representative images with pathology clearly labeled and annotated.
SUMMARY OF FINDINGS:
Stable nodule in the left upper outer breast looks like a normal lymph node.
Recommendation. Patient should continue monthly breast self-exams and to obtain screening mammography on schedule.
Due to current concerns regarding COVID-19, we want to assure you and your patients that we are taking every extra measure to provide the highest quality advanced diagnostic imaging all the while keeping our patients and the community safe.
Hospitals are now restricting any advanced imaging. We are a small independent facility that is able to maintain high levels of sanitation and limit the number of patients in our office at one time.
We are completely sterilizing the office and equipment after every patient.
We have restricted all visitors.
We have adjusted our lobby so that we can ensure multiple patients are not in the office at the same time
We are adhering to strict social distancing guidelines.
We are screening patients and requesting patients with fevers or flu symptoms, been in contact with someone suspected to have the coronavirus or anyone that has traveled to an affected region to please call and cancel/reschedule their appointment.
We are updating our policies daily to coincide with the strictest of measures.
We are all in this together and are here for you and your patients.