Self Instructional Manual for Cancer Registrars - SEER - National ...

EXAMPLE
E5
Name: Mar)/Secondchance Hospital No. 000005
Age: 65 Sex: Female Race: White
EXAMINATION DESIRED: Mammogram of the remaining breast (right)
REASON FOR EXAM: Carcinoma of breast
REPORT:
MAMMOGRAM OF THE REMAINING BREAST (RIGHT):
There is no evidence of skin thickening. In the upper outer quadrant, there is
noted a small area of increased opacification with radiating fibrotic strands. There
is at least one large vein leading out of this area, as well as two smaller venous
channels that are dilated in comparison with the remaining vasculature of this
breast. No calcifications can be detected. Incidentally, also, in the axilla on this
side are two rounded opacities, suggesting lymph nodes.
IMP: Possibility of an upper outer quadrant carcinoma is surely to be considered.
However, I would suggest a repeat mammogram in two or three months.
Date: 1/13/91 Exam: Mammogram Radiologist: O. Roentgen, MD
X-RAY REPORT
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