A 57-year-old female presents for a screening mammogram. The patient has heterogeneously dense breasts. The patient also has a digital breast tomosynthesis study. In the left upper inner quadrant a spiculated mass is seen.

Pseudoangiomatous stomal hyperplasia (PASH)

Utilizing the DBT alongside the conventional screening FFDM can give a better understanding of a lesion in dense breasts. The combination study showed a spiculated mass within the parenchymal dense breast tissue.

The use of digital breast tomosynthesis in breast cancer screening can improve the detection of invasive carcinomas. With digital breast tomosynthesis multiple slices are obtained of each breast which are reconstructed to produce a 3-dimentional image.

Skaane, P., Bandos, AI., Gullien, R., Eben, U., Haakenaasen, U., Izadi, M., Jebsen, IN., Jahr, G., Krager, M., Niklason, LT., Hofvind, S., Gur, D. Comparison of Digital Mammography Alone and Digital Mammography Plus Tomosynthesis in a Population-based Screening Program. 

Image IQ: 57-year-old with Dense Breasts, Spiculated Mass