MediAI

Multimodality Imaging with Ultrasound, MRI, and FDG PET/CT Clinical Overview A painless breast mass in a young woman is often considered likely to represent a benign lesion such as fibroadenoma. However, when a mass demonstrates rapid growth, marked vascularity, atypical enhancement, or increased FDG uptake , a broader differential diagnosis should be considered. Primary breast lymphoma (PBL) is a rare extranodal non-Hodgkin lymphoma involving the breast. Although uncommon, it can mimic both benign breast tumors and primary breast carcinoma on imaging. This case is particularly noteworthy because of the combination of: Young age Immunosuppressive therapy Painless breast mass Hypervascular hypoechoic mass on ultrasound Tubular enhancement and washout kinetics on MRI Increased FDG uptake on PET/CT Final diagnosis of primary breast lymphoma, marginal zone lymphoma The case emphasizes the importance of integrating clinical history with multimodality breast imaging rather than relying on a...

  A Radiologist’s Guide to Mammography, Ultrasound, Core Biopsy, and AI-Assisted Interpretation A 37-year-old woman with a painless palpable breast mass demonstrates the central diagnostic dilemma of diabetic mastopathy: a benign fibro-inflammatory process that can reproduce the clinical and imaging phenotype of breast cancer. When a Firm Breast Mass Looks Like Cancer A 37-year-old woman undergoing a routine health examination was found to have a firm mass in the right breast. There was no pain. No tenderness. No obvious skin change. The clinical history, however, contained an important clue: she had long-standing type 2 diabetes and obesity. She had also given birth six months earlier and had breastfed. Mammography showed very dense breast tissue and architectural distortion at the site corresponding to the palpable abnormality. Targeted ultrasound revealed an approximately 10-mm irregular hypoechoic mass, accompanied by another similar lesion measuring approximately 6 mm nearby....

  A Multimodality Imaging Approach with Mammography, Ultrasound, MRI, and AI-Assisted Differential Diagnosis An axillary mass is frequently associated with metastatic breast cancer, yet not every palpable lesion represents malignancy. This case demonstrates how multimodality breast imaging, comprehensive clinical history, and evidence-based radiologic interpretation revealed a silicone granuloma—a benign foreign-body reaction that can closely mimic breast cancer. By understanding the characteristic imaging features of silicone granuloma, radiologists can improve diagnostic accuracy, reduce unnecessary biopsies, and provide more effective patient-centered care. Introduction Breast imaging has undergone a remarkable transformation over the past two decades, evolving from simple lesion detection to comprehensive diagnostic characterization supported by advanced imaging technologies and artificial intelligence (AI). Today, radiologists are expected not only to identify suspicious a...