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How to cite this article: Sudhakar Kanumuri, Kada Venkata Ramana, Sudhir Sachar. Role of mammography and ultrasound in the evaluation of palpable breast masses with histopathological correlation. International Journal of Contemporary Medicine Surgery and Radiology. 2019;4(2):B16-B20. A B S T R A C TIntroduction: Breast cancer is most common cause of cancer death in women and overall fifth common cause of cancer deaths in the world. 1 In India, breast cancer is the second most common cancer in women, next to cervical cancer. Early detection of breast cancer reduces the morbidity and mortality rate. Present study was designed to evaluate the role of mammography and sonography independently and combinedly in diagnosing palpable breast mass lesions with histopathological correlation. Material and Methods: 50 patients aged 30 and above with palpable abnormalities of breast underwent combined mammographic and sonographic evaluation. Results: In this study 52 breast masses from 50 patients were evaluated with USG and Mammography and the incidence of malignancy was 22%. 10 cases were diagnosed as malignant after a combined mammographic and sonographic evaluation and only one case was missed. 33 of the 50 cases were categorized as benign after a combined mammographic and sonographic evaluation, only one fibrocystic case not detected on mammogram and ultrasound was diagnosed with HPE. The combined evaluation have sensitivity 95.7% and specificity is 102%. The positive predictive value of this test is 100% and negative predictive value 60%. This data clearly shows the value of imaging in avoiding unnecessary biopsies. Conclusion: we can conclude that combined sonography and mammography can appropriately characterize the breast lesion and unnecessary intervention can be avoided.

The multitude of diseases affecting the mediastinum varies considerably, comprising of tumors (benign to extremely malignant), cysts, vascular anomalies, lymph node masses, mediastinitis, mediastinal fibrosis, and pneumomediastinum. Current research aimed to study the computed tomographic characteristics of Mediastinal mass lesions in Plain and Contrast-enhanced scans and to study the distribution of mediastinal masses and their extension to adjacent structures and compare the CT findings with pathological diagnosis wherever possible. Materials and Methods: Present study was conducted on 50 cases in the age between two to seventy years for a period of 18 months (Nov 2016 to April 2018) in the Department of Radio-diagnosis, Konaseema Institute of Medical Sciences and Research Foundation, Amalapuram. Referred patients from Medicine, Surgery, and evaluated through detailed history,necessary physical examination and computed tomography are carried out using CT scan-GE 16slicescannerwithboth Plain and Contrast study. Results: CT with a diagnostic accuracy of 94% is a highly usefulmodality for the investigation of mediastinal masses. Conclusion: CT plays a significant role in the assessment of various mediastinal pathology, regarding diagnosis, distribution pattern and mass effect on adjacent structures.

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