A 23-year-old woman is concerned about a mass she found on palpation. Upon examination of the patient, the mass feels cystic, round, and mobile with discrete borders. The diagnostic study that is recommended is:
A. CT scan
B. Mammogram
C. Biopsy
D. Ultrasound
ANS: D
The American College of Radiology (2012) recommends that women under 40 years of age should be assessed through ultrasound, and women who are older than 40 years should be assessed with a mammogram. Younger women have denser breasts, and ultrasound is, therefore, often more useful than a mammogram. Ultrasounds are helpful in determining whether or not a mass that feels potentially "cystic" is fluid filled or solid. It is crucial that the woman understand that the imaging procedure is a screening tool and is never diagnostic regarding the existence or absence of a malignancy.
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