Breast Sonography Examination
Questions and Answers Latest Update
100% Pass
What artifact is commonly seen deep to a benign cyst?
✔✔ Posterior acoustic enhancement
What is the best way to evaluate for vascularity within a breast mass?
✔✔ Color or power Doppler imaging
What ultrasound feature is concerning in a lymph node evaluation?
✔✔ Loss of fatty hilum
What is the main limitation of breast ultrasound?
✔✔ Limited sensitivity to microcalcifications
What type of breast tissue increases with age?
✔✔ Fatty tissue
1
,What technique is used to reduce motion artifacts during scanning?
✔✔ Ask patient to hold breath or remain still
What structure lies deep to the retromammary space?
✔✔ Pectoralis major muscle
What condition is indicated by ductal dilatation with intraluminal solid echoes?
✔✔ Intraductal papilloma or debris
What can mimic a solid lesion but is actually an artifact?
✔✔ Side lobe artifact
What is the echogenicity of a lactating breast?
✔✔ Hypoechoic with prominent ducts
What type of breast cancer is often multifocal and bilateral?
✔✔ Invasive lobular carcinoma
✔✔
2
,How do silicone granulomas appear on ultrasound?
✔✔ Echogenic nodules with shadowing or dirty posterior echoes
What helps distinguish a reactive lymph node from a metastatic one?
✔✔ Presence of a central echogenic hilum
Which layer of the breast typically contains most of the glandular tissue?
✔✔ Mammary (parenchymal) layer
How does a postoperative seroma appear on ultrasound?
✔✔ Anechoic or complex fluid collection near surgical site
What sonographic feature helps differentiate an abscess from a solid tumor?
✔✔ Presence of internal debris and peripheral vascularity
What is the best position to scan the medial breast tissue in large-breasted patients?
✔✔ Supine with the ipsilateral arm raised and slight body rotation
3
, What technique improves visualization of a superficial lesion?
✔✔ Use of a stand-off pad
What is the most common finding in male breast ultrasound?
✔✔ Hypoechoic subareolar tissue consistent with gynecomastia
What feature distinguishes fat necrosis from malignancy?
✔✔ Presence of an oil cyst with smooth walls
What artifact causes structures to appear duplicated behind a strong reflector?
✔✔ Mirror image artifact
Which type of Doppler is most sensitive to low-flow states in the breast?
✔✔ Power Doppler
What does a breast lesion with posterior shadowing but no palpable mass suggest?
✔✔ Possible malignancy or fibrous tissue
4
Questions and Answers Latest Update
100% Pass
What artifact is commonly seen deep to a benign cyst?
✔✔ Posterior acoustic enhancement
What is the best way to evaluate for vascularity within a breast mass?
✔✔ Color or power Doppler imaging
What ultrasound feature is concerning in a lymph node evaluation?
✔✔ Loss of fatty hilum
What is the main limitation of breast ultrasound?
✔✔ Limited sensitivity to microcalcifications
What type of breast tissue increases with age?
✔✔ Fatty tissue
1
,What technique is used to reduce motion artifacts during scanning?
✔✔ Ask patient to hold breath or remain still
What structure lies deep to the retromammary space?
✔✔ Pectoralis major muscle
What condition is indicated by ductal dilatation with intraluminal solid echoes?
✔✔ Intraductal papilloma or debris
What can mimic a solid lesion but is actually an artifact?
✔✔ Side lobe artifact
What is the echogenicity of a lactating breast?
✔✔ Hypoechoic with prominent ducts
What type of breast cancer is often multifocal and bilateral?
✔✔ Invasive lobular carcinoma
✔✔
2
,How do silicone granulomas appear on ultrasound?
✔✔ Echogenic nodules with shadowing or dirty posterior echoes
What helps distinguish a reactive lymph node from a metastatic one?
✔✔ Presence of a central echogenic hilum
Which layer of the breast typically contains most of the glandular tissue?
✔✔ Mammary (parenchymal) layer
How does a postoperative seroma appear on ultrasound?
✔✔ Anechoic or complex fluid collection near surgical site
What sonographic feature helps differentiate an abscess from a solid tumor?
✔✔ Presence of internal debris and peripheral vascularity
What is the best position to scan the medial breast tissue in large-breasted patients?
✔✔ Supine with the ipsilateral arm raised and slight body rotation
3
, What technique improves visualization of a superficial lesion?
✔✔ Use of a stand-off pad
What is the most common finding in male breast ultrasound?
✔✔ Hypoechoic subareolar tissue consistent with gynecomastia
What feature distinguishes fat necrosis from malignancy?
✔✔ Presence of an oil cyst with smooth walls
What artifact causes structures to appear duplicated behind a strong reflector?
✔✔ Mirror image artifact
Which type of Doppler is most sensitive to low-flow states in the breast?
✔✔ Power Doppler
What does a breast lesion with posterior shadowing but no palpable mass suggest?
✔✔ Possible malignancy or fibrous tissue
4
