Hamartomas are uncommon benign tumours of axilla and breast. They show varied imaging appearances depending upon the proportion of various tissue elements present. The mammographic, ultrasound and elastographic appearances of a case of left axillary hamartoma is described in a 49 years old Indian patient.

A case of unilateral tentorial hypoplasia with ipsilateral brain herniation is presented. This was an incidental finding in a 38 years old lady without any other associated findings. Computed Tomographic and Magnetic Resonance showed mild dilation of occipital horn of left lateral ventricle, which is a rare finding.

Introduction: Breast cancer is the most common cause of cancer related mortality in Indian women. Aim: To evaluate the imaging characters of Triple Negative Breast Cancer (TNBC) on Mammography and Ultrasonography (USG), with the major goal of identifying imaging predictors of TNBC. Materials and Methods: The present retrospective case-control study was conducted at AIIMS, Rishikesh, Uttarakhand, India, over a period of one year from September 2018 to August 2019. The imaging findings of 50 cases of histopathologically proven TNBC were retrospectively evaluated by two breast radiologists. This was compared with 50 age matched blindly chosen cases of non-TNBC. The statistically significant imaging characters of TNBC were identified by Chi-square test. The imaging predictors of TNBC were identified by regression analysis. Results: The most common mammographic presentation of TNBC was mass without calcification (64%) with round/oval shape (54%) and lobulated margins (38%). The most common ultrasonographic presentation was hypoechoic mass (76%) with round/oval shape (52%) and lobulated margins (44%) with Posterior Acoustic Enhancement (PAE) (54%). PAE (p<0.0001: Area Under Curve (AUC): 0.6200) on USG was the single strongest imaging predictor of TNBC, followed by lobulated margins on mammography (p<0.001: AUC: 0.6300). On multivariate analysis, a lobulated, hypoechoic mass with PAE was found to be the most statistically confident predictor of TNBC on imaging. Conclusion: TNBC has specific imaging features on both mammography and USG which may be used as utility tools in early diagnosis. A round, lobulated mass on both modalities with hypoechogenicity and PAE on USG are definite red flags for TNBC on imaging.

A 30-year-old women presented in family medicine OPD of AIIMS, Rishikesh with macular rashes associated with pruritus involving face, limbs, and abdomen. She was also having proximal muscle weakness in symmetric distribution. Positive Gottron's papules and shawl sign established the diagnosis of dermatomyositis. She was also complaining of breast tenderness and hardness for which she was referred to the Integrated Breast Care Clinic in AIIMS, Rishikesh.On examination, there were firm to hard masses in both breasts which were tender on palpation. The overlying skin of few of the lesions showed bluish discolouration.She underwent mammography and ultrasonography, the bilateral breast lesions were categorized under BIRADS 3 category, followed by fine needle aspiration cytology (FNAC) correlation as the lump was palpable and clinician requested. MAMMOG R APHYMammography revealed multiple coarse and reticular foci of calcifications diffusely involving both breasts (more marked in right breast)showing clustering at many places. (Figures 1 and 2A,B) F I G U R E 1 A and B, Craniocaudal and mediolateral view of right breast show multiple diffusely scattered coarse, lacy, reticular, and bizarre dystrophic calcifications. Few of them get clumped together to form calcified mass. More marked in lower inner quadrant (Marked by arrows) [Color figure can be viewed at wileyonlinelibrary.com] (A) (B)

No abstract