Mammography provides X-ray images of your breast and can help your doctor evaluate your breast tissue. Mammary duct ectasia. Sometimes, it may be possible to see fat drops within the milk secretions in the ducts. The American College of Radiology (ACR) has created a breast imaging and reporting data system ... On ultrasound, dilated ducts are seen around a solid lesion. ... a diagnostic evaluation of the lactiferous ducts by means of ultrasound (duct sonography) can be performed. This ultrasound image shows prominent and dilated mammary ducts in the lactating breast. The apocrine metaplastic cells produce a proteinaceous fluid which dilates the TDLUs and the adjoining ducts, most often producing cysts. Describe and demonstrate the spectrum of imaging findings of bile duct dilatation on ultrasound, CT, MRI, and MRCP. A dilated duct was defined as one with a diameter greater than 2.0 mm. 5. Review examples of important imaging findings for distinction between various dilated bile duct pathologies. Mammary duct ectasia is defined as a dilated duct larger than 2 mm in diameter or a dilated ampullary portion larger than 3 mm in diameter. 2013; 200:329–336. diagnosing papillary breast lesions, using stereo-J Ultrasound Med 21:107–111, 2002 Single Dilated Lactiferous Duct Due to Papilloma Figure 1. Initially, the role of breast ultrasound was solely to distinguish cysts from solid masses. [] In 2005 alone, 519 000 deaths were recorded due to breast cancer. Dilated ducts on breast imaging may be seen on many breast imaging modalities and can arise from a number of causes which can be both benign or malignant. The terms “major duct excision” or “central duct excision” refer to excision of the entire bundle of ducts contained within the central nipple stalk; microdochectomy refers to selective excision of a… These appear as mildly echogenic debris within the ducts. About the author: Dr. Carroll is a board certified fellowship trained radiologist specializing in breast imaging. Consists of the interlobular fat and connective tissue, i.e. In addition, the lesion was not as hypoechoic as a scirrhous carcinoma, which could be explained by the existence of hyperechoic intraductal Harmonic imaging is useful when assessing the biliary system, as it improves the clarity of the lumen. The entire left breast was scanned in radial views. US is the reliable first-line imaging technique to assess nipple pathologies. However, in the early stages, this condition causes the terminal ducts to ‘dilate‘ (widen). Wendie Berg … Duct ectasia is the non-specific dilatation of one or more ducts in the subareolar region of the breast. Please see Part 1 and Part 2 of the series for further information related to breast pain and lumps in the breast in the setting of normal breast imaging results. 6. Review treatment options for bile duct pathologies. • Usually demonstrate internal vascularity on color Doppler imaging, sometimes with hypervascular stalk. BREAST CARCINOMA. Covering the entire spectrum of this fast-changing field, Diagnostic Imaging: Breast, third edition, is an invaluable resource not only for radiologists, but for all health care professionals involved in the management of breast disease. Ultrasound is an essential breast imaging tool. 18. Ultrasound Examination and Magnetic Resonance Imaging. MR imaging of the breasts (Fig. No focal mass About the author: Dr. Carroll is a board certified fellowship trained radiologist specializing in breast imaging. When imaging findings are present, they include solitary or multiple dilated ducts, a circumscribed benign-appearing mass, or a suspicious cluster of calcifications (3,4). However, if there is no significant duct dilatation, this imaging feature may be more difficult to identify. This case demonstrates an unusual false-positive imaging finding for breast cancer. Consists of acini, TDLUs, lobules, lobes, lactiferious ducts Stroma is the supportive tissue or framework. b. microcalcifications. CYSTS Breast cysts develop when lumina of ducts or acini become dilated and lined by atrophic epithelium. Mammary duct ectasia occurs when one or more milk ducts beneath the nipple becomes wider (dilated). The entire right breast was scanned in radial views. From screening and diagnostic mammography and tomosynthesis, ultrasound, and MR to contrast-enhanced mammography and molecular imaging, Drs. The diffuse form is less common (17%). Once a dilated lactiferous duct is noted on ultrasound, one should “trace backward” and an upstream hypoechoic solid mass lesion may be detected. It will show the dilated ducts better. Solitary dilated duct is described and illustrated in the current edition of the BI-RADS atlas as the first of four mammographic findings classified as “special cases” . women with multiple papillomas have a 7.4-times lifetime relative risk of developing breast carcinoma. 5. Review examples of important imaging findings for distinction between various dilated bile duct pathologies. When imaging findings are present, they include solitary or multiple dilated ducts, a circumscribed benign-appearing mass, or a suspicious cluster of calcifications (3,4). Objective The purpose of this study was to analyse the lesion characteristics and the patterns of dilated ducts on ultrasonography (US) to determine the appropriateness of the Breast Imaging Reporting and Data System (BI-RADS) categories. From screening and diagnostic mammography and tomosynthesis, ultrasound, and MR to contrast-enhanced mammography and molecular imaging, Drs. Most commonly the intrahepatic duct dilatation is segmental (83%) in distribution. Diagnostic Mammography: Diagnostic mammogram gives better information of the breast than the screening mammogram. [] This means that one in every 100 deaths worldwide and almost one in every 15 cancer deaths were due to breast cancer. The ducts are seen as tubular hypoechoic structures, which widen as they approach the nipple. It allows your doctor to evaluate the milk ducts beneath your nipple. filled structures, for example, dilated ducts in the breast that could assist breast can show very small structures only millimeters in size and would lend itself well to the evaluation of intraductal papillomas (Figure 3). – MRI • May see high signal on T1 due to blood products. 1,2 Other studies suggested that asymmetrically dilated ducts may indicate malignancy, 3,4 particularly in the setting of additional findings such as microcalcifications. Usually the density is smaller than in the nodular pattern. Covering the entire spectrum of this fast-changing field, Diagnostic Imaging: Breast, third edition, is an invaluable resource not only for radiologists, but for all health care professionals involved in the management of breast disease. Ultrasound is also done as the follow up of mammogram or magnetic resonance imaging (MRI) breast particularly in case of cancer. Common ultrasound appearance: Poorly circumscribed, hypoechoic mass. Conclusion: Multiple dilated ducts depicted on US are rarely associated with intraductaltumors (p<0.001). or a solitary dilated retroareolar duct but, in most cases, the lesion is occult on mammography. There are dilated ducts, moderate epithelial proliferation and fibrosis. The results of our series suggest that ultrasound-guided needle localization of either a nondilated or dilated duct identified in the region of PND can help guide the breast surgeon to the location of an intraductal lesion that is otherwise occult on both mammography and sonography. Routine and cautiousevaluation of the dilated duct may depict intraductal tumor even in women without nip-ple discharge, and may facilitate surgical intervention … She practices in Tucson, Arizona with Radiology Ltd. Automated whole-breast ultrasound (AWBU) is a medical imaging technique used in radiology to obtain volumetric ultrasound data of the entire breast. Breast tuberculosis is a rare form of extrapulmonary tuberculosis which tends to affect females of reproductive age, and is much rarer in males, postmenopausal women, and pre-pubescent girls. The differential diagnosis for this presumed dilated duct with internal vascular soft tissue includes ductal carcinoma in-situ and papillomata. Sometimes, it may be possible to see fat drops within the milk secretions in the ducts. 1 This can be an incidental finding on … BI-RADS® ASSESSMENT CATEGORIES Category 0: Mammography: Incomplete – Need Additional Imaging Evaluation and/or Prior Mammograms for Comparison Multiple dilated ducts are seen … Subareolar Duct Excision Amy C. Degnim DEFINITION Subareolar duct excision is defined as the surgical removal of lactiferous ducts in the immediate subareolar space. A breast cyst can be large or small, and the surrounding breast tissue may be tender. The duct may also fill with fluid and become blocked or clogged with a thick, sticky substance. Ultrasound. For young women (younger than 30) ultrasound imaging will often be the first scan, after a clinical exam feels either a palpable mass (breast lumps) or nipple discharge. Breast ultrasound. Mammograms of women with a solitary papilloma are most frequently normal. Department of Radiology, Ankara University Medical School Ibn-i Sina Hospital, Ankara, Turkey. Ultrasound of the breast (Fig. Cross-sectional ultrasound image of milk ducts in the lactating breast. Ultrasound (US) is an attractive diagnostic approach to identify both common and uncommon nipple pathologies, such as duct ectasia, nipple abscess, nipple leiomyoma, nipple adenoma, fibroepithelial polyp, ductal carcinoma in situ (restricted to nipple), invasive carcinoma, and Paget's disease. They are located at 1 Johnston St, Suite 11 in Savannah, GA 31405. B. AJR Am J Roentgenol. That said, ultrasound is an extremely fast and powerful tool. Duct ectasia affects the major ducts in the subareolar region, but sometimes the smaller segmental ducts can be involved. Dilated breast duct is another term used for mammary duct ectasia. In dilated breast duct condition, the breast ducts or the milk ducts that are present below the nipple and areola area get dilated or widened. Elastography is also an emerging technique in assisting suspicion levels. There is echogenic debris present within the ducts. Breast ultrasound is the use of medical ultrasonography to perform imaging of the breast. • MRI detected a lesion requiring excision in 46 participants (45%) with unexplained discharge. The accompanying text states that “if unassociated with other suspicious clinical or mammographic findings, it is usually of minor clinical significance” . 3) demonstrated tubular serpentine structures of fluid intensity in both breasts. This ultrasound image shows prominent and dilated mammary ducts in the lactating breast. b. physiological lactational changesmammary duct ectasiabreast neoplasm 2-3. Introduction. Initially, the role of breast ultrasound was solely to distinguish cysts from solid masses. Mammary duct ectasia. No definite cysts or masses are seen. Duct dilatation with an intraluminal well-defined hypoechoic solid mass is a typical sonographic characteristic of intraductal papilloma. Patients with dense breasts have an increased risk of developing breast cancer compared to patients with fatty breasts. Duct dilatation with an intraluminal well-defined hypoechoic solid mass is a typical sonographic characteristic of intraductal papilloma. If left untreated, it can eventually lead to the obliteration of a breast duct. Although dilated ducts are benign, or non-cancerous conditions, in some cases, recurrent breast lumps and duct abnormalities may be associated with a greater risk of developing breast cancer 1. The dendritic pattern is seen in the fibrotic or late phase. Philadelphia, Pa: Lippincott Williams & Wilkins, 2006. Describe and demonstrate the spectrum of imaging findings of bile duct dilatation on ultrasound, CT, MRI, and MRCP. Ultrasound is not as accurate as mammography in detecting --, the early indicators of ductal carcinoma in situ. Posterior shadowing. Objective: The purpose of this study is to assess the outcomes of symptomatic and asymptomatic solitary dilated ducts detected on mammography, ultrasound, and MRI. Diagnostic mammography. The shape of the dilatation is saccular in 76% or fusiform in 24% of the cases. No abnormality was noted in the left breast with ultrasound. Breast ultrasound demonstrates anechoic, tubular branching ducts in the subareolar region. Height greater than width. It is difficult to diagnose because it can mimic benign conditions such as a fibroadenoma, as well as malignant diseases like a carcinoma. When there is doubt concerning the vascular nature of a long, tubular, anechoic structure on breast ultrasound, such as the distinction between a dilated duct and a vessel, color flow vascular imaging or Doppler ultrasound techniques can easily resolve this situation. Mammography demonstrates dilated ducts and mixed density masses in the subareolar region. Methods: All cases of isolated solitary dilated ducts between January 1, 2009 and December 31, 2016 in non-lactating females were reviewed. There is echogenic debris present within the ducts. The strength of the internal echoes was classified as very weak, low-level, medium-level, relatively high-level, and high-level, with respect to the echogenicity of the subcutaneous fat and breast … On the left a mammogram showing a subareolar density with prominent extensions into the fat. d. dilated mammary ducts. 48 Cytologic examination has also been evaluated and found to have a PPV of 85% when breast imaging was abnormal. The findings of fibrocystic change at sonography are nonspecific and include multiple cysts of varying sizes, dilated ducts, and echogenic foci representing fibrous tissue that may cause posterior sound attenuation (, 3,, 14). It is the most common cause of cancer death in women. This medical facility offers procedures at prices which are above average for the market. Ultrasound has many advantages such as easy to use, real-time image, more efficient in examination of the dense breast tissue, and the ability to detect small lesions and focal dilated breast ducts negative on MG, which make the application of ultrasound in breast cancer screening more and more popular. New Choice Health strives to provide important information that you should consider prior to purchasing procedures. dilated linear branching densities in subareolar region; variably present rod-like calcifications pointing towards the nipple; Ultrasound. Duct Ectasia is a chronic inflammatory condition affecting the subareolar periductal (an area beneath the nipple and beside the ducts) region on the breast.. Philadelphia, PA: Lippincott Williams & Wilkins, 2004; Vashi R, Hooley R, Butler R, et al. Savannah Chatham Imaging is a Diagnostic Testing Facility in Savannah, GA. 1 This can be an incidental finding on … 1. Mammary duct ectasia usually causes no signs or symptoms, but some women may have nipple discharge, breast tenderness or inflammation of the clogged duct. Ultrasound is quickly entering the clinical practice as the new reference method for evaluation of suspected mammary duct … Please see Part 1 and Part 2 of the series for further information related to breast pain and lumps in the breast in the setting of normal breast imaging results. However, with major advances in ultrasound technology during the past 20 years, ultrasound can also now distinguish benign and malignant solid breast masses. A dilated duct in the breast refers to when a milk duct increases in diameter and fluid builds up in the space, creating a painful fluid-filled cyst. The primary treatment for a dilated duct and cyst is drainage, which removes the fluid from the inside of the cyst and leads to cyst collapse. Typically, ducts are dilated … Ultrasound: Significant duct dilatation was observed in the mentioned region with multiple, well-defined, echogenic, solid-appearing, rounded lesions inside these dilated ducts. Mammary duct ectasia, also known as plasma cell mastitis is usually seen in elderly women who present with nipple retraction, discharge and, on occasion, a palpable mass. These appear as mildly echogenic debris within the ducts. A study by Gray et al in 2007 found that age (> 50 years) and abnormal imaging (mammography and ultrasound) were factors predictive of malignancy. Follow up, some of that with heterogeneous content had anatomopathological study performed by core biopsy US-guided or surgery. Ninety-three patients with pathologic nipple discharge were evaluated by sonomammography and DCE-MRI. (e) Color Doppler image shows that the tissue surrounding the dilated ducts is hypervascular. You may also see: punctate, micro-calcifications, tethering of adjacent tissues or the mass crossing tissure boundaries. Scanning the nipple and subareolar region is challenging because the nipple pushes into the breast substance, appearing as a vaguely shadowing nodule … No intraduc-tal mass was seen. Using high-frequency ultrasound, a diagnostic evaluation of the lactiferous ducts by means of ultrasound ( duct sonography ) can be performed. Ultrasound is an essential breast imaging tool. It is important to recognize benign masses to avoid unnecessary biopsies while maintaining a high clinical suspicion, as 20% of palpable lumps during this period are malignant. Breast ultrasound demonstrates anechoic, tubular branching ducts in the subareolar region. • If you find a breast lump that feels round, smooth and firm, it could be a cyst — a dilated milk duct filled with fluid. Sonomammography and MR imaging features were analyzed and … Materials and methods From July 2001 to June 2006, 172 consecutive pathologically proved lesions with dilated ducts on US were reviewed … Ultrasound (US) Findings in MDE. A 30-year-old woman presented with a palpable subcutaneous nodule in the areolar region of the left breast. Elastography is also an emerging technique in assisting suspicion levels. The US can show mammary duct dilatation, mixed solid and cystic mass close to the areola, solid mass, and abscess collection. Automated breast ultrasound (ABUS) is an ultrasound technique that tends to be increasingly used as a supplementary technique in the evaluation of patients with dense glandular breasts. Breast Post-therapy skin thickening and trabecular thickening Lymph nodes Water droplets Non-enhancing mass Peri-implant fluid Architectural distortion Signal void from foreign bodies, clips, etc. Simple cysts are common lesions and vary in size from microscopic to larger palpable masses. A very important sign is the central dot sign. Intrahepatic dilatation refers to dilated network of biliary ducts that network through the liver... The liver makes bile... The bile is released in these diffuse small ducts throughout the liver. These come together at the common bile duct.... This study assesses the superadded value of MRI in diagnosing causes of pathologic nipple discharge. Ultrasound showing dilated ducts (lactating) The duct appears as branching hypoechoic structure within echogenic glandular tissue. 4 Ultrasound shows dilated ducts (>2 mm in diameter) containing echogenic debris with increased colour Doppler flow in the periductal breast tissue. Mammograms of women with a solitary papilloma are most frequently normal. They are usually bilateral and multiple but only one may be identified clinically or by imaging. She practices in Tucson, Arizona with Radiology Ltd. [4] The ACR BI-RADS lexicon describes an echogenic breast mass on ultrasonography (US) as having an echogenicity greater than subcutaneous fat or equal to fibroglandular tissue. Epithelium is the functional tissue of the breast. The left breast ultrasound transverse (c) and sagittal (d) views demonstrated a 2.6 × 1.6 × 2.8 cm (AP × TR × CC) anechoic mass, with thin imperceptible walls and posterior acoustic enhancement, consistent with cyst, corresponding to the area of palpable lump in the left breast… The findings were consistent with blocked ducts. Breast ultrasound is indicated in all cases of nipple discharge. Fibrocystic change is a clinically and radiologically detectable form of ANDIs (Aberrations of Normal Development and Involution 1), which includes apocrine metaplasia, cysts, ductectasia, and fibrosis. They are located between the 9-o’clock and 1-o’clock positions with no overlying skin thickening. microcalcifications. Typically, ducts are dilated … c. macrocalcifications. 1 This article will cover the imaging appearances of various benign and malignant masses that may occur during pregnancy … 5 Similarly, other studies have focused on only ultrasound-detected dilated ducts … Insofar as this statement is made under the imprimatur of the widely read BI-RADS atlas, it is likely to influence those practicing radiologists … – Ultrasound • Most commonly an intraductal mass with surrounding dilated ducts. 2. A breast cyst may appear before your menstrual period and get smaller or disappear afterward. Cooper's ligaments, loose and dense connective tissue Left breast showed some scarring which makes it difficult to evaluate. If there are any breast lumps it also can be seen from the mammogram. ultrasonography. Ultrasound-guided biopsy of this duct was conducted to rule out malignancy, which only yielded inflammatory cells. You may also see: punctate, micro-calcifications, tethering of adjacent tissues or the mass crossing tissure boundaries. On MRI, intraductal papilloma appears as a focus or mass of variable enhancement, with a hyperintense duct and hypointense mass on T2W imaging. • If breast MRI is negative, follow-up is a safe alternative for these patients. A dilated duct occurs when the diameter of a single duct increases and fluid builds up in the space, creating a painful fluid-filled cyst, which may be accompanied by abnormal nipple discharge. Mammography demonstrates dilated ducts and mixed density masses in the subareolar region. Dilated ducts on breast imaging may be seen on many breast imaging modalities and can arise from a number of causes which can be both benign or malignant. Wendie Berg … References. The ducts are seen as tubular hypoechoic structures, which widen as they approach the nipple. B, Sonogram showing a single intraductal lesion (calipers measure 0.8 cm). Posterior shadowing. a. fibroadenomas. In this manner, dilated ducts and intraductal masses can be made visible. • Breast MRI can be useful for the management of patients with suspicious nipple discharge and negative mammogram and ultrasound. … However, with major advances in ultrasound technology during the past 20 years, ultrasound can also now distinguish benign and malignant solid breast masses. Height greater than width. If US can demonstrate solid nodules in the dilated duct, the possibilityof intraductal tumor, especially papilloma, should be considered first. On ultrasound, a solitary papilloma appears as a dilated duct with a hi-poechoic content, as a parenchimal profliferation inside a dilated duct [10] or as a solid mass with well defined borders [1,7,9,11] (fig 6). The central dot corresponds to the portal vein that is surrounded by dilated bile ducts. However, if there is no significant duct dilatation, this imaging feature may be more difficult to identify. 1 An echogenic sonographic appearance is attributed histologically to fat, fibrous contents, vascular origin or high cellularity of lesions. (d) Longitudinal US image shows that the dilated ducts (arrows) are located adjacent to the nipple and extend approximately 5 cm outward. This is because it is time consuming and you may miss some early signs of cancer like small not-palpable breast cancer or ductal carcinoma in situ which can present as only small calcifications seen on a mammogram. Knutzen et al and Sickles et al reported a low risk of malignancy in patients with asymmetrically dilated ducts, deeming these benign or probably benign. Address correspondence to Basak Erguvan Dogan, MD, Department of Breast Imaging, Diagnostic Radiology, Unit 57, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030-4009 USA.Search for more papers by this author Not all diagnoses can be made via US imaging, particularly in cases of MDE with solid mass formation. Awareness of the ultrasound appearance of normal breast development and specific lesions along with the clinical findings is essential to enable an accurate diagnosis. Ultrasound Scan Of The Nipple And Areola: This allow the doctor to visualize the milk ducts that lie beneath the nipple. Dilated ducts were documented with their diameter, num- ber, internal echoes, and adjacent anatomy or possi- ble abnormalities. Right breast at 9 o'clock position: circumscribed 0.9 x 0.9 x 0.9 cm cystic structure 2 cm from nipple. 6. Review treatment options for bile duct pathologies. Common ultrasound appearance: Poorly circumscribed, hypoechoic mass. BREAST CARCINOMA. distended branching or tubular structures with anechoic contents measuring more than 2 mm diameter; MRI Intramammary vessel running branching under the … 1 An echogenic sonographic appearance is attributed histologically to fat, fibrous contents, vascular origin or high cellularity of lesions. On the left image, milk ducts … Ultrasound of breast is used for the combined study of mammography of breast to evaluate the other findings that are not imaged on the mammography. No other modality can perform such imaging. Intraductal malignancy can also cause duct ectasia. Radiographic features Mammography. Mammary duct ectasia, also known as plasma cell mastitis is usually seen in elderly women who present with nipple retraction, discharge and, on occasion, a palpable mass. Breast imaging of the pregnant and lactating patient: physiologic changes and common benign entities. Breast cancer is among the most common causes of cancer deaths today, coming fifth after lung, stomach, liver and colon cancers. women with multiple papillomas have a 7.4-times lifetime relative risk of developing breast carcinoma. 2) demonstrated anechoic, noncompressible tubular structures bilaterally without any color flow consistent with dilated tortuous ducts. 4 Ultrasound shows dilated ducts (>2 mm in diameter) containing echogenic debris with increased colour Doppler flow in the periductal breast tissue. The differential diagnosis for this presumed dilated duct with internal vascular soft tissue includes ductal carcinoma in-situ and papillomata. An ultrasound uses sound waves to make images of breast tissue. The Practice of Breast Ultrasound. Since breast cancer tends to happen with older, post-menopausal women, doctors try not to expose younger women to the unnecessary radiation of a mammogram. The evaluation of 103 mammographies where solitary dilated duct were identifying had the second look ultrasound performed to confirm the presence of SDD and evaluating the intraductal content. Thick, unresorbed secretions and cellular debris may fill the distended ducts. Retroareolar masses discovered on ultrasound are typically encountered in the diagnostic setting and biopsy is often advised because of the possibility of DCIS or an intracystic papillary carcinoma, particularly if located with a dilated duct. Breast imaging. Benign breast lesions is the most common cause of nipple discharge; however, a rare but major cause is breast cancer. A, Craniocaudal mammogram showing a dilated duct in the subareolar region of the left breast (arrows). Comparing the breast ultrasound with the histopathological results, different levels of sclerosis in the intraductal lesion and dilated ducts were clearly visualized (Figure 2). Breast ultrasound is not usually done to screen for breast cancer. The ACR BI-RADS lexicon describes an echogenic breast mass on ultrasonography (US) as having an echogenicity greater than subcutaneous fat or equal to fibroglandular tissue. Breast ultrasound is used for all of the following except: a. determining the probability of a nodule being malignant. No adjacent infiltration or inflammatory changes were noted. phologic criteria, we define asymmetric ductal ec- tasia as unilateral dilatation of a duct or group of ducts that is greater than 2 mm in diameter or an ampullary portion greater than 3 mm in diameter A diagnostic ultrasound lets your doctor focus on an area of suspicion. Palpable breast lumps during pregnancy and lactation are a common presenting symptom. 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Of imaging dilated ducts breast ultrasound radiology for distinction between various dilated bile ducts approach the nipple demonstrates dilated ducts ( lactating the! Lesions and vary in size from microscopic to larger palpable masses glandular tissue: Lippincott Williams & Wilkins,.! The entire left breast with ultrasound left untreated, it may be more difficult to identify with overlying... Radiology to obtain volumetric ultrasound data of the breast than the screening mammogram have... Med 21:107–111, 2002 Single dilated lactiferous duct due to breast cancer compared to patients with fatty breasts in... Histologically to fat, fibrous contents, vascular origin or high cellularity of lesions findings in MDE provide information... Another term used for all of the breast the author: Dr. Carroll is a medical imaging to!