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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Diagnostic Checklist
TERMINOLOGY
Definitions
- Echogenicity: Echo pattern, internal characteristics of mass, defined relative to subcutaneous fat
- Hyperechoic = echogenic: More echogenic than subcutaneous fat
- Hypoechoic: Less echogenic than subcutaneous fat
- Heterogeneous: Mass with both hyperechoic and hypoechoic portions, mixed echogenicity
- Distinguish from complex cystic and solid, which has both anechoic (cystic/fluid) and hypoechoic (solid) components
IMAGING
General Features
Mammographic Findings
Ultrasonographic Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
DIAGNOSTIC CHECKLIST
Consider
Selected References
- Journo G et al: Hyperechoic breast images: all that glitters is not gold! Insights Imaging. 9(2):199-209, 2018
- Tiang S et al: Malignant hyperechoic breast lesions at ultrasound: A pictorial essay. J Med Imaging Radiat Oncol. 60(4):506-13, 2016
- Aho M et al: Correlation of sonographic features of invasive ductal mammary carcinoma with age, tumor grade, and hormone-receptor status. J Clin Ultrasound. 41(1):10-7, 2013
- Mendelson EB et al: Breast Imaging Reporting and Data System, BI-RADS: Ultrasound. 2nd ed. Reston: American College of Radiology; 2013
- Kim H et al: Comparison of conventional and automated breast volume ultrasound in the description and characterization of solid breast masses based on BI-RADS features. Breast Cancer. Epub ahead of print, 2012
- Taskin F et al: Sonographic features of histopathologically benign solid breast lesions that have been classified as BI-RADS 4 on sonography. J Clin Ultrasound. 40(5):261-5, 2012
- Linda A et al: Hyperechoic lesions of the breast: not always benign. AJR Am J Roentgenol. 196(5):1219-24, 2011
- Linda A et al: The wide spectrum of hyperechoic lesions of the breast. Clin Radiol. 66(6):559-65, 2011
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References
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Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Diagnostic Checklist
TERMINOLOGY
Definitions
- Echogenicity: Echo pattern, internal characteristics of mass, defined relative to subcutaneous fat
- Hyperechoic = echogenic: More echogenic than subcutaneous fat
- Hypoechoic: Less echogenic than subcutaneous fat
- Heterogeneous: Mass with both hyperechoic and hypoechoic portions, mixed echogenicity
- Distinguish from complex cystic and solid, which has both anechoic (cystic/fluid) and hypoechoic (solid) components
IMAGING
General Features
Mammographic Findings
Ultrasonographic Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
DIAGNOSTIC CHECKLIST
Consider
Selected References
- Journo G et al: Hyperechoic breast images: all that glitters is not gold! Insights Imaging. 9(2):199-209, 2018
- Tiang S et al: Malignant hyperechoic breast lesions at ultrasound: A pictorial essay. J Med Imaging Radiat Oncol. 60(4):506-13, 2016
- Aho M et al: Correlation of sonographic features of invasive ductal mammary carcinoma with age, tumor grade, and hormone-receptor status. J Clin Ultrasound. 41(1):10-7, 2013
- Mendelson EB et al: Breast Imaging Reporting and Data System, BI-RADS: Ultrasound. 2nd ed. Reston: American College of Radiology; 2013
- Kim H et al: Comparison of conventional and automated breast volume ultrasound in the description and characterization of solid breast masses based on BI-RADS features. Breast Cancer. Epub ahead of print, 2012
- Taskin F et al: Sonographic features of histopathologically benign solid breast lesions that have been classified as BI-RADS 4 on sonography. J Clin Ultrasound. 40(5):261-5, 2012
- Linda A et al: Hyperechoic lesions of the breast: not always benign. AJR Am J Roentgenol. 196(5):1219-24, 2011
- Linda A et al: The wide spectrum of hyperechoic lesions of the breast. Clin Radiol. 66(6):559-65, 2011
