ARDMS Breast Registry Review
Questions and Answers Latest Version
100% Pass
What is the most likely sonographic appearance of a fibroadenoma in a young woman?
✔✔ Oval, well-circumscribed, hypoechoic, and wider-than-tall mass
What is the purpose of using elastography in breast ultrasound?
✔✔ To assess tissue stiffness and differentiate benign from malignant lesions
Which breast tissue layer contains Cooper's ligaments?
✔✔ Subcutaneous and mammary layers
What structure appears as a hyperechoic line extending from the skin toward the chest wall on
ultrasound?
✔✔ Cooper’s ligaments
What patient position is best for imaging the medial breast with ultrasound?
✔✔ Supine with the arm raised above the head
1
,How does a galactocele typically appear on ultrasound?
✔✔ Cystic mass with internal echoes and fluid-fat levels
What is a common feature of ductal carcinoma in situ (DCIS) on ultrasound?
✔✔ Microcalcifications with or without ductal changes
What breast lesion may cause posterior acoustic enhancement?
✔✔ Simple cyst
Which direction is best for scanning the upper outer quadrant of the left breast?
✔✔ Radial orientation
What is the significance of posterior shadowing in a solid breast mass?
✔✔ Suggests malignancy due to dense tissue attenuation
What is a sentinel lymph node?
✔✔ The first lymph node to receive drainage from a breast tumor
2
,Which sonographic sign may suggest an intraductal papilloma?
✔✔ Focal ductal dilatation with an intraductal mass
Why is compression applied during breast ultrasound?
✔✔ To distinguish cystic from solid lesions and reduce artifact
What artifact helps identify a cystic breast lesion?
✔✔ Posterior acoustic enhancement
What is the typical sonographic appearance of a lipoma in the breast?
✔✔ Isoechoic or hyperechoic, well-defined, compressible mass
What feature of a mass most strongly suggests malignancy?
✔✔ Taller-than-wide orientation
What is the most common benign breast tumor in young women?
✔✔ Fibroadenoma
3
, What is the best modality for evaluating breast implants?
✔✔ MRI
What type of transducer is most appropriate for breast ultrasound?
✔✔ High-frequency linear array
What is a common cause of nipple discharge evaluated with ultrasound?
✔✔ Intraductal papilloma
How does fat necrosis appear on breast ultrasound?
✔✔ Complex mass with possible calcifications and oil cysts
What is the role of color Doppler in breast imaging?
✔✔ To evaluate vascularity of a lesion and differentiate solid from cystic structures
What is a suspicious feature of an axillary lymph node?
✔✔ Round shape with loss of fatty hilum
4
Questions and Answers Latest Version
100% Pass
What is the most likely sonographic appearance of a fibroadenoma in a young woman?
✔✔ Oval, well-circumscribed, hypoechoic, and wider-than-tall mass
What is the purpose of using elastography in breast ultrasound?
✔✔ To assess tissue stiffness and differentiate benign from malignant lesions
Which breast tissue layer contains Cooper's ligaments?
✔✔ Subcutaneous and mammary layers
What structure appears as a hyperechoic line extending from the skin toward the chest wall on
ultrasound?
✔✔ Cooper’s ligaments
What patient position is best for imaging the medial breast with ultrasound?
✔✔ Supine with the arm raised above the head
1
,How does a galactocele typically appear on ultrasound?
✔✔ Cystic mass with internal echoes and fluid-fat levels
What is a common feature of ductal carcinoma in situ (DCIS) on ultrasound?
✔✔ Microcalcifications with or without ductal changes
What breast lesion may cause posterior acoustic enhancement?
✔✔ Simple cyst
Which direction is best for scanning the upper outer quadrant of the left breast?
✔✔ Radial orientation
What is the significance of posterior shadowing in a solid breast mass?
✔✔ Suggests malignancy due to dense tissue attenuation
What is a sentinel lymph node?
✔✔ The first lymph node to receive drainage from a breast tumor
2
,Which sonographic sign may suggest an intraductal papilloma?
✔✔ Focal ductal dilatation with an intraductal mass
Why is compression applied during breast ultrasound?
✔✔ To distinguish cystic from solid lesions and reduce artifact
What artifact helps identify a cystic breast lesion?
✔✔ Posterior acoustic enhancement
What is the typical sonographic appearance of a lipoma in the breast?
✔✔ Isoechoic or hyperechoic, well-defined, compressible mass
What feature of a mass most strongly suggests malignancy?
✔✔ Taller-than-wide orientation
What is the most common benign breast tumor in young women?
✔✔ Fibroadenoma
3
, What is the best modality for evaluating breast implants?
✔✔ MRI
What type of transducer is most appropriate for breast ultrasound?
✔✔ High-frequency linear array
What is a common cause of nipple discharge evaluated with ultrasound?
✔✔ Intraductal papilloma
How does fat necrosis appear on breast ultrasound?
✔✔ Complex mass with possible calcifications and oil cysts
What is the role of color Doppler in breast imaging?
✔✔ To evaluate vascularity of a lesion and differentiate solid from cystic structures
What is a suspicious feature of an axillary lymph node?
✔✔ Round shape with loss of fatty hilum
4
