Quadrant and clock face. Depth. Distance from the nipple. ACR BI-RADS® Atlas Fifth Edition. QUICK REFERENCE. For the complete Atlas, visit The ACR BI-RADS® Atlas (5th Edition) is now available in hardcopy and e-book formats. Buy both and save. The bound version is a great reference for breast. 9 Apr The illustrated BI-RADS® Fifth Edition is an extension of the Fourth Edition of the BI-RADS® Atlas and is the culmination of years of.

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Awaiting previous examinations for comparison should only take place if they are required to make a final assessment Conclude to a final assessment category.

For instance when we describe the shape or margin of a mass. The initial short-term follow-up of a BI-RADS 3 lesion is a unilateral mammogram at 6 months, then a bilateral follow-up examination at 12 months. Read more on breast calcifications. Associated features are things that are seen in association with suspicious findings like masses, asymmetries and calcifications.

Here multiple round circumscribed low density masses in the right breast. Mention the patient’s history. Designation of right or left breast Quadrant and clockface notation preferably both On US quarter and clockface notation should be supplemented on the image by means of bodymark and transducer position. These image-findings are diagnostic for a hamartoma – also known as fibroadenolipoma.

This finding is sufficiently suspicious to justify biopsy. Special cases Special cases are findings with features so typical that you do not need to describe them in detail, like for instance an intramammary lymph node or a wart on the skin. This patient presented with a tumor in the left breast. Referral to the breast clinic was now strongly indicated and was put in motion by the general practitioner after telephone consultation.


There is nothing to comment on. Always make sure that a mass that is found on physical examination is the same as the mass that is found with mammography or ultrasound. The illustrated atlas contains more than clinical images and numerous charts, tables and diagrams.

Additional US of the mass: Concordant with the lump and the mass on the mammogram there is an oval simple cyst, parallel orientation, circumscribed, Anechoic with posterior enhancement. If Ultrasound is performed, mention if the US is targeted to a specific location or supplementary screening. The patient and the referring general practitioner preferred to await the results of the biopsy.

BI-RADS® for Ultrasound – Bioprognos

Architectural distortion and Asymmetries Approximation of its greatest linear dimension. This proved to be DCIS with invasive carcinoma.

Describe the indication for the study. In the BI-RADS edition the assignment of the breast composition is changed into a, b, c and d-categories followed by a description:. Don’t recommend MRI to further evaluate a benign finding. In the paragraph on location we will discuss how we can be sure that the lymph node that we found with ultrasound is indeed at,as same as the mammographic mass.

This includes thin straight lines or spiculations radiating from a point, and focal retraction, distortion or straightening at the edges of the parenchyma.

Use in rass for which any nonmalignant percutaneous tissue diagnosis is automatically considered discordant Use in findings sufficiently suspicious to justify Category 5 and the patient or referring clinician refrain from biopsy because of contraindications or other concerns.

Within this last group the chances of malignancy are different depending on their morphology BI-RADS 4B or 4C and also depending on their distribution.

Fifth Edition ACR BI-RADS Atlas Now Available

These findings may have associated features, like for instance a mass can be accompanied with skin thickening, nipple retraction, calcifications etc. Communicate unexpected findings with the referring clinician. Compare to previous studies. Asymmetries Findings that represent unilateral deposits of fibroglandulair tissue not conforming to the definition of a mass.


Since calcifications of intermediate concern and of high probability of malignancy all are being treated the same way, which usually means biopsy, it is logic to 5yh them together.

They are of a atoas with a new lesion found at screening. News Ultrasound Women’s Health October 26, Videos Radiation Therapy October 29, Here images of a biopsy proven malignancy.

Management After informed consent of the patient a 14G core needle biopsy was performed, two specimens were obtained. So it is called cbecause small masses can be obscured. All types of asymmmetry have different border contours than true masses and also lack the conspicuity of masses.

Mobile lump, lateral in left breast, since 2 months. The differential diagnosis is afr tissue or carcinoma. First describe the breast composition. Due to the dense fibroglandular tissue the tumor is not well seen. In addition, the fifth edition includes updated descriptors for breast composition, descriptors for elasticity assessment in avr and descriptors for implant assessment in MRI.

Ultrasound acd was performed. Do realize, that a benign evaluation may always be rendered before completion of the Category 3 analysis, if in the opinion of the radiologist the finding has no chance of malignancy and thus is Category 2.

Cysts can be aspirated or filled with air after aspiration to make sure that the lesion found on the mammogram is caused 5t a cyst.