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Breast
Lesion Imaging Characteristics
Ultrasound Lesion Characteristics
Cyst, Simple (US)
Cyst, Simple (US)
Wendie A. Berg, MD, PhD, FACR, FSBI
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Fluid-filled mass lined by epithelium
            • Distinguish from complicated cyst with debris or complex cystic and solid mass

          IMAGING

          • General Features

            • Mammographic Findings

              • Ultrasonographic Findings

                • CT Findings

                  • MR Findings

                    • Image-Guided Biopsy

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Berg WA et al: Quantitative maximum shear-wave stiffness of breast masses as a predictor of histopathologic severity. AJR Am J Roentgenol. 205(2):448-55, 2015
                                          2. Barr RG et al: The utility of the "bull's-eye" artifact on breast elasticity imaging in reducing breast lesion biopsy rate. Ultrasound Q. 27(3):151-5, 2011
                                          3. Berg WA et al: Cystic breast masses and the ACRIN 6666 experience. Radiol Clin North Am. 48(5):931-87, 2010
                                          4. Berg WA et al: Operator dependence of physician-performed whole-breast US: lesion detection and characterization. Radiology. 241(2):355-65, 2006
                                          5. Berg WA et al: Cystic lesions of the breast: sonographic-pathologic correlation. Radiology. 227(1):183-91, 2003
                                          6. Gizienski TA et al: Breast cyst recurrence after postaspiration injection of air. Breast J. 8(1):34-7, 2002
                                          7. Leung JW et al: Multiple bilateral masses detected on screening mammography: assessment of need for recall imaging. AJR Am J Roentgenol. 175(1):23-9, 2000
                                          8. Smith DN et al: Impalpable breast cysts: utility of cytologic examination of fluid obtained with radiologically guided aspiration. Radiology. 204(1):149-51, 1997
                                          9. Brenner RJ et al: Spontaneous regression of interval benign cysts of the breast. Radiology. 193(2):365-8, 1994
                                          10. Ciatto S et al: The value of routine cytologic examination of breast cyst fluids. Acta Cytol. 31(3):301-4, 1987
                                          11. Hilton SV et al: Real-time breast sonography: application in 300 consecutive patients. AJR Am J Roentgenol. 147(3):479-86, 1986
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Definitions

                                                    • Fluid-filled mass lined by epithelium
                                                    • Distinguish from complicated cyst with debris or complex cystic and solid mass

                                                  IMAGING

                                                  • General Features

                                                    • Mammographic Findings

                                                      • Ultrasonographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Image-Guided Biopsy

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Berg WA et al: Quantitative maximum shear-wave stiffness of breast masses as a predictor of histopathologic severity. AJR Am J Roentgenol. 205(2):448-55, 2015
                                                                                  2. Barr RG et al: The utility of the "bull's-eye" artifact on breast elasticity imaging in reducing breast lesion biopsy rate. Ultrasound Q. 27(3):151-5, 2011
                                                                                  3. Berg WA et al: Cystic breast masses and the ACRIN 6666 experience. Radiol Clin North Am. 48(5):931-87, 2010
                                                                                  4. Berg WA et al: Operator dependence of physician-performed whole-breast US: lesion detection and characterization. Radiology. 241(2):355-65, 2006
                                                                                  5. Berg WA et al: Cystic lesions of the breast: sonographic-pathologic correlation. Radiology. 227(1):183-91, 2003
                                                                                  6. Gizienski TA et al: Breast cyst recurrence after postaspiration injection of air. Breast J. 8(1):34-7, 2002
                                                                                  7. Leung JW et al: Multiple bilateral masses detected on screening mammography: assessment of need for recall imaging. AJR Am J Roentgenol. 175(1):23-9, 2000
                                                                                  8. Smith DN et al: Impalpable breast cysts: utility of cytologic examination of fluid obtained with radiologically guided aspiration. Radiology. 204(1):149-51, 1997
                                                                                  9. Brenner RJ et al: Spontaneous regression of interval benign cysts of the breast. Radiology. 193(2):365-8, 1994
                                                                                  10. Ciatto S et al: The value of routine cytologic examination of breast cyst fluids. Acta Cytol. 31(3):301-4, 1987
                                                                                  11. Hilton SV et al: Real-time breast sonography: application in 300 consecutive patients. AJR Am J Roentgenol. 147(3):479-86, 1986