Anechoic (fluid), Hyperechoic (bright), Complex cystic/solid, Hypoechoic (dark), Isoechoic. Posterior Features: Enhancement, Shadowing, or No change. 📊 2. BI-RADS Assessment Categories Each scan is assigned a final assessment digit (0–6). Assessment Management Malignancy Risk 0 Incomplete Need more imaging/comparison 1 Routine screening 2 Routine screening 3 Probably Benign Short-interval follow-up (6 mo) 4 (A/B/C) Suspicious Tissue biopsy recommended 2% – 95% 5 Highly Suggestive Biopsy/Surgical action 6 Known Cancer Treatment planning 🔍 3. Key Changes in the 5th Edition
Clarified "Non-parallel" as a strong indicator of suspicious growth.
Using the lexicon above to describe size, shape, and borders. Categorization: Assigning a BI-RADS score. BREAST ULTRASOUND: ACR BIRADS 5th EDITION WALKT...
Circumscribed, Indistinct, Angular, Microlobulated, or Spiculated.
If you are reading your own report, look for these "Red Flags" vs. "Green Flags": BI-RADS Assessment Categories Each scan is assigned a
Now described as present or absent within a lesion or the immediate surrounding tissue. 💡 4. Practical Walkthrough for Patients
Now a single descriptor for masses with both components. Using the lexicon above to describe size, shape, and borders
Added as a complementary descriptor (stiffness of a lesion).