Breast Radiology Reporting - 1st STU ballot
0.2.0 - STU 1 Ballot 2020May

Breast Radiology Reporting - 1st STU ballot - Local Development build (v0.2.0). See the Directory of published versions

Associated Feature CodeSystem - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="AssociatedFeatureCS"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>Associated Feature CodeSystem</h2><div><p>Associated Feature seen during a breast examination.</p>
</div><p>This code system http://hl7.org/fhir/us/breast-radiology/CodeSystem/AssociatedFeatureCS defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">ArchitecturalDistortion<a name="AssociatedFeatureCS-ArchitecturalDistortion"> </a></td><td>Architectural distortion</td><td>Many breast masses are found within the zone of fibroglandular 
tissue or at a fat-fibroglandular 
junction. 
If the mass blurs a tissue plane between fat and 
fibroglandular tissue or if the 
mass produces 
distortion of the ducts, these findings may be termed 
architectural distortion. 
[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 139] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">AxillaryAdenopathy<a name="AssociatedFeatureCS-AxillaryAdenopathy"> </a></td><td>Axillary adenopathy</td><td>Enlarged axillary (under the armpit) lymph nodes. 
Additional evaluation is needed to determine the 
cause. 
[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 110] 

Valid for the following modalities: MG MRI.</td></tr><tr><td style="white-space:nowrap">BiopsyClip<a name="AssociatedFeatureCS-BiopsyClip"> </a></td><td>Biopsy clip</td><td>Tissue marker placement after image-guided breast 
biopsy has become a routine component 
of clinical practice. 
Marker placement distinguishes multiple biopsied 
lesions within the same breast, 
prevents re-biopsy of benign lesions, enables multi-modality 
correlation, guides 
pre-operative localization and helps confirm surgical 
target removal. 
Numerous breast tissue markers are currently available, 
with varied shapes, composition, 
and associated bio-absorbable components. 
[https://www.ncbi.nlm.nih.gov/pubmed/30059952] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">BrachytherapyTube<a name="AssociatedFeatureCS-BrachytherapyTube"> </a></td><td>Brachytherapy tube</td><td>Brachytherapy may be temporary or permanent. 
Temporary brachytherapy places radioactive material 
inside a catheter for a specific 
amount of time and then it is removed. 
It is given at a low-dose rate (LDR) or high-dose 
rate (HDR). 
Permanent brachytherapy is also called seed implantation. 
It puts radioactive seeds (about the size of a grain 
of rice) in or near the tumor 
permanently. 
After several months, the seeds lose their radioactivity. 
[https://www.radiologyinfo.org/en/info.cfm?pg=brachy] 

Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">ChestWallInvasion<a name="AssociatedFeatureCS-ChestWallInvasion"> </a></td><td>Chest wall invasion</td><td>A tumor of the lung that has invaded the chest wall. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">CooperDistorted<a name="AssociatedFeatureCS-CooperDistorted"> </a></td><td>Cooper distorted</td><td>The cooper's ligaments are fibrous bands extending 
vertically from surface attached to 
chest wall muscles. 
These ligaments maintain the shape and structure 
of the breasts and help to prevent 
sagging. 
Cooper's ligaments support the breasts on the chest 
wall, maintain their contour, 
and keep them in position. 
Breasts become distorted if cancerous tumors grow 
on the ligaments. 
The normal breast contours can be noticeably different 
once distorted. 
This can be because of swelling, bulges, retraction, 
etc. 


Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">CooperThickened<a name="AssociatedFeatureCS-CooperThickened"> </a></td><td>Cooper thickened</td><td>The cooper's ligaments are fibrous bands extending 
vertically from surface attached 
to chest wall muscles. 
These ligaments maintain the shape and structure 
of the breasts and help to prevent 
sagging. 
Cooper's ligaments support the breasts on the chest 
wall, maintain their contour, 
and keep them in position. 
These support breast tissue; and can become contracted 
in cancer of breast, producing 
dimples in overlying skin. 
Thickening occurs when there are skin changes usually 
associated with the presence 
of a mass, benign or malignant, that causes shortening 
in the Coopers ligaments due 
to fibrosis. 


Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">Edema<a name="AssociatedFeatureCS-Edema"> </a></td><td>Edema</td><td>Edema (swelling of the breasts)  may be due to blockage 
of subdermal lymphatics by tumor cells or an inflammatory 
process within the breast or axilla. 


Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">EdemaAdj<a name="AssociatedFeatureCS-EdemaAdj"> </a></td><td>Edema adj</td><td>This is swelling of one or both breasts. 
A mammographic pattern of skin thickening, increased 
parenchymal density, and interstitial marking. 


Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">GoldSeed<a name="AssociatedFeatureCS-GoldSeed"> </a></td><td>Gold Seed</td><td>Tiny, gold seeds, about the size of a grain of rice, 
that are put in and/or around 
a tumor to show exactly where it is in the body. 
The tumor can then be directly targeted and be given 
higher doses of radiation 
with less harm to nearby healthy tissue. 
Also called gold fiducial marker seeds, gold fiducial 
markers, and gold-seed fiducial 
markers. 
[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/gold-seeds] 

Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">Hematoma<a name="AssociatedFeatureCS-Hematoma"> </a></td><td>Hematoma</td><td>A hematoma is a localized bleeding outside of blood 
vessels, due to either disease 
or trauma including injury or surgery and may involve 
blood continuing to seep from 
broken capillaries. 
en.wikipedia.org &gt; wiki &gt; Hematoma 


Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">NippleRetraction<a name="AssociatedFeatureCS-NippleRetraction"> </a></td><td>Nipple retraction</td><td>Retracted nipples lie flat against the areola. 
The condition can be the result of inflammation or 
scarring of the tissue behind 
the nipple, and caused by numerous conditions, not 
just cancer. 
In the case of breast cancer, nipple retraction occurs 
when the tumor attacks the 
duct behind the nipple, pulling it in. 


Valid for the following modalities: MG MRI.</td></tr><tr><td style="white-space:nowrap">NOChestWallInvasion<a name="AssociatedFeatureCS-NOChestWallInvasion"> </a></td><td>NO Chest wall invasion</td><td>The mass has not attached itself to the chest wall. 


Valid for the following modalities: MRI.</td></tr><tr><td style="white-space:nowrap">PectoralisMuscleInvasion<a name="AssociatedFeatureCS-PectoralisMuscleInvasion"> </a></td><td>Pectoralis muscle invasion</td><td>Pectoralis muscle invasion is when a tumor has become 
large enough to invade into 
the pectoralis muscle. 


Valid for the following modalities: US MRI.</td></tr><tr><td style="white-space:nowrap">PectoralisMuscleInvolvement<a name="AssociatedFeatureCS-PectoralisMuscleInvolvement"> </a></td><td>Pectoralis muscle involvement</td><td>Pectoralis muscle involvement of the tumor has been 
detected on the MRI by muscle 
enhancement with obliteration of the fat plane between 
the tumor and the muscle. 
pubs.rsna.org &gt; doi &gt; pdf 


Valid for the following modalities: MRI.</td></tr><tr><td style="white-space:nowrap">PectoralisMuscleTenting<a name="AssociatedFeatureCS-PectoralisMuscleTenting"> </a></td><td>Pectoralis muscle tenting</td><td>The tent sign is a term referring to a characteristic 
appearance of the posterior 
edge of the breast parenchyma when a mass (usually 
an infiltrating lesion) causes 
its retraction and forms an inverted &quot;V&quot; that resembles 
the tip of a circus tent. 
[https://radiopaedia.org/articles/tent-sign-breast?lang=us] 

Valid for the following modalities: US MRI.</td></tr><tr><td style="white-space:nowrap">PostSurgicalScar<a name="AssociatedFeatureCS-PostSurgicalScar"> </a></td><td>Post surgical scar</td><td>Post surgical scarring happens because of the incisions 
needed to surgically remove 
tumor, cells, etc. 
The amount of scarring is connected to the different 
stages of wound healing. 
Surgical scar care should be continued for a year. 


Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">Seroma<a name="AssociatedFeatureCS-Seroma"> </a></td><td>Seroma</td><td>A breast seroma is a collection (pocket) of serous 
fluid that can develop after trauma 
to the breast or following procedures such as breast 
surgery or radiation therapy. 
Serous fluid is a pale yellow, transparent fluid 
that contains protein, but no blood 
cells or pus. 
[https://www.verywellhealth.com/seroma-medical-definition-430372] 

Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">SkinInvolvement<a name="AssociatedFeatureCS-SkinInvolvement"> </a></td><td>Skin involvement</td><td>The mass or lesion has attached itself to the skin 
of the breast. 
There are several layers of skin that the mass or 
lesion can penetrate and that is 
what determines the level of skin invasion. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">SkinLesion<a name="AssociatedFeatureCS-SkinLesion"> </a></td><td>Skin lesion</td><td>A skin lesion is a part of the skin that has an abnormal 
growth or appearance compared 
to the skin around it.In order to diagnose a skin 
lesion, a full physical exam is necessary. 


Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">SkinRetraction<a name="AssociatedFeatureCS-SkinRetraction"> </a></td><td>Skin retraction</td><td>Skin retraction (or inversion) or Skin retraction. 
Breast cancers that are located near the skin or 
nipple may cause scarring within 
the breast that pulls at the nipple or nearby skin. 
Skin and nipple retraction are more obvious when 
a woman raises her arms above her 
head or leans forward. 
[https://www.drholmesmd.com/blog/early-signs-of-breast-cancer] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">SkinThickening<a name="AssociatedFeatureCS-SkinThickening"> </a></td><td>Skin thickening</td><td>The presence of skin thickening on mammography is 
variably defined, usually being 
more than 2 mm in thickness. 
It can result from a number of both benign and malignant 
causes. 
[https://radiopaedia.org/articles/skin-thickening-on-mammography-differential?lang=us] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">SurgicalClip<a name="AssociatedFeatureCS-SurgicalClip"> </a></td><td>Surgical clip</td><td>Most surgical clips are currently made of titanium, 
and as many as 30 to 40 clips 
may be used during a single surgical procedure. 
Surgical clips may remain inside the patient's body 
after the wounds are healed. 


Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">TrabecularThickening<a name="AssociatedFeatureCS-TrabecularThickening"> </a></td><td>Trabecular thickening</td><td>Trabecular thickening-thickening of the Cooper's ligaments 
and fibrous stroma-is 
an imaging finding of breast edema, usually secondary 
to dilated lymphatics. 
Skin thickening and trabecular thickening often occur 
together, and they have similar 
differential diagnoses. 
[https://oxfordmedicine.com/view/10.1093/med/9780190270261.001.0001/med-9780190270261-chapter-48] 

Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">CalcificationInMass<a name="AssociatedFeatureCS-CalcificationInMass"> </a></td><td>Calcification in mass</td><td>Calcifications usually can't be felt, but appear 
on a mammogram. 
Depending on how calcifications are clustered; shape, 
size, and number, further tests may be necessary. 
Larger &quot;macrocalcifications&quot; are usually not associated 
with cancer. 


Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">CalcificationNotOnMammogarm<a name="AssociatedFeatureCS-CalcificationNotOnMammogarm"> </a></td><td>Calcification Not on mammogarm</td><td>Calcifications usually can't be felt, but appear 
on a mammogram. 
Calcifications can be clustered and their shape, 
size, and number. 
Large &quot;macrocalcifications&quot; are usually not associated 
with cancer. 


Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">CalcificationOnMammogram<a name="AssociatedFeatureCS-CalcificationOnMammogram"> </a></td><td>Calcification on mammogram</td><td>Calcifications are small deposits of calcium that 
show up on mammograms as bright 
white specks or dots on the soft tissue background 
of the breasts. 
The calcium readily absorbs the X-rays from mammograms 


Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">Calcifications<a name="AssociatedFeatureCS-Calcifications"> </a></td><td>Calcifications</td><td>Calcifications are small deposits of calcium that 
show up on mammograms as bright 
white specks or dots on the soft tissue background 
of the breasts. 


Valid for the following modalities: MG US.</td></tr><tr><td style="white-space:nowrap">MicroCalcifications<a name="AssociatedFeatureCS-MicroCalcifications"> </a></td><td>Micro calcifications</td><td>Micro-calcifications show up as fine, white specks 
in a mammogram, similar to grains of salt; usually 
noncancerous, but certain patterns can be an early 
sign of cancer. 


Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">MilkOfCalcium<a name="AssociatedFeatureCS-MilkOfCalcium"> </a></td><td>Milk of calcium</td><td>The term milk of calcium (MOC) is given to dependent, 
sedimented calcification within 
a cystic structure or hollow organ. 
This sort of colloidal calcium suspension layering 
can occur in various regions. 
[https://radiopaedia.org/articles/milk-of-calcium-disambiguation?lang=us] 

Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">RimCalcifications<a name="AssociatedFeatureCS-RimCalcifications"> </a></td><td>Rim calcifications</td><td>These are very thin benign calcifications that appear 
as calcium is deposited on 
the surface of a sphere. 
Although fat necrosis can produce these thin deposits, 
calcifications in the wall 
of cysts are the most common 'rim' calcifications. 


Valid for the following modalities: US.</td></tr></table></div>
  </text>
  <url
       value="http://hl7.org/fhir/us/breast-radiology/CodeSystem/AssociatedFeatureCS"/>
  <version value="0.2.0"/>
  <name value="AssociatedFeatureCS"/>
  <title value="Associated Feature CodeSystem"/>
  <status value="draft"/>
  <date value="2019-11-01T00:00:00+00:00"/>
  <publisher value="Hl7 - Clinical Interoperability Council"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/Special/committees/cic"/>
    </telecom>
  </contact>
  <description value="Associated Feature seen during a breast examination."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="31"/>
  <concept>
    <code value="ArchitecturalDistortion"/>
    <display value="Architectural distortion"/>
    <definition
                value="Many breast masses are found within the zone of fibroglandular 
tissue or at a fat-fibroglandular 
junction. 
If the mass blurs a tissue plane between fat and 
fibroglandular tissue or if the 
mass produces 
distortion of the ducts, these findings may be termed 
architectural distortion. 
[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 139] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="AxillaryAdenopathy"/>
    <display value="Axillary adenopathy"/>
    <definition
                value="Enlarged axillary (under the armpit) lymph nodes. 
Additional evaluation is needed to determine the 
cause. 
[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 110] 

Valid for the following modalities: MG MRI."/>
  </concept>
  <concept>
    <code value="BiopsyClip"/>
    <display value="Biopsy clip"/>
    <definition
                value="Tissue marker placement after image-guided breast 
biopsy has become a routine component 
of clinical practice. 
Marker placement distinguishes multiple biopsied 
lesions within the same breast, 
prevents re-biopsy of benign lesions, enables multi-modality 
correlation, guides 
pre-operative localization and helps confirm surgical 
target removal. 
Numerous breast tissue markers are currently available, 
with varied shapes, composition, 
and associated bio-absorbable components. 
[https://www.ncbi.nlm.nih.gov/pubmed/30059952] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="BrachytherapyTube"/>
    <display value="Brachytherapy tube"/>
    <definition
                value="Brachytherapy may be temporary or permanent. 
Temporary brachytherapy places radioactive material 
inside a catheter for a specific 
amount of time and then it is removed. 
It is given at a low-dose rate (LDR) or high-dose 
rate (HDR). 
Permanent brachytherapy is also called seed implantation. 
It puts radioactive seeds (about the size of a grain 
of rice) in or near the tumor 
permanently. 
After several months, the seeds lose their radioactivity. 
[https://www.radiologyinfo.org/en/info.cfm?pg=brachy] 

Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="ChestWallInvasion"/>
    <display value="Chest wall invasion"/>
    <definition
                value="A tumor of the lung that has invaded the chest wall. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="CooperDistorted"/>
    <display value="Cooper distorted"/>
    <definition
                value="The cooper&#39;s ligaments are fibrous bands extending 
vertically from surface attached to 
chest wall muscles. 
These ligaments maintain the shape and structure 
of the breasts and help to prevent 
sagging. 
Cooper&#39;s ligaments support the breasts on the chest 
wall, maintain their contour, 
and keep them in position. 
Breasts become distorted if cancerous tumors grow 
on the ligaments. 
The normal breast contours can be noticeably different 
once distorted. 
This can be because of swelling, bulges, retraction, 
etc. 


Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="CooperThickened"/>
    <display value="Cooper thickened"/>
    <definition
                value="The cooper&#39;s ligaments are fibrous bands extending 
vertically from surface attached 
to chest wall muscles. 
These ligaments maintain the shape and structure 
of the breasts and help to prevent 
sagging. 
Cooper&#39;s ligaments support the breasts on the chest 
wall, maintain their contour, 
and keep them in position. 
These support breast tissue; and can become contracted 
in cancer of breast, producing 
dimples in overlying skin. 
Thickening occurs when there are skin changes usually 
associated with the presence 
of a mass, benign or malignant, that causes shortening 
in the Coopers ligaments due 
to fibrosis. 


Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="Edema"/>
    <display value="Edema"/>
    <definition
                value="Edema (swelling of the breasts)  may be due to blockage 
of subdermal lymphatics by tumor cells or an inflammatory 
process within the breast or axilla. 


Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="EdemaAdj"/>
    <display value="Edema adj"/>
    <definition
                value="This is swelling of one or both breasts. 
A mammographic pattern of skin thickening, increased 
parenchymal density, and interstitial marking. 


Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="GoldSeed"/>
    <display value="Gold Seed"/>
    <definition
                value="Tiny, gold seeds, about the size of a grain of rice, 
that are put in and/or around 
a tumor to show exactly where it is in the body. 
The tumor can then be directly targeted and be given 
higher doses of radiation 
with less harm to nearby healthy tissue. 
Also called gold fiducial marker seeds, gold fiducial 
markers, and gold-seed fiducial 
markers. 
[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/gold-seeds] 

Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="Hematoma"/>
    <display value="Hematoma"/>
    <definition
                value="A hematoma is a localized bleeding outside of blood 
vessels, due to either disease 
or trauma including injury or surgery and may involve 
blood continuing to seep from 
broken capillaries. 
en.wikipedia.org &gt; wiki &gt; Hematoma 


Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="NippleRetraction"/>
    <display value="Nipple retraction"/>
    <definition
                value="Retracted nipples lie flat against the areola. 
The condition can be the result of inflammation or 
scarring of the tissue behind 
the nipple, and caused by numerous conditions, not 
just cancer. 
In the case of breast cancer, nipple retraction occurs 
when the tumor attacks the 
duct behind the nipple, pulling it in. 


Valid for the following modalities: MG MRI."/>
  </concept>
  <concept>
    <code value="NOChestWallInvasion"/>
    <display value="NO Chest wall invasion"/>
    <definition
                value="The mass has not attached itself to the chest wall. 


Valid for the following modalities: MRI."/>
  </concept>
  <concept>
    <code value="PectoralisMuscleInvasion"/>
    <display value="Pectoralis muscle invasion"/>
    <definition
                value="Pectoralis muscle invasion is when a tumor has become 
large enough to invade into 
the pectoralis muscle. 


Valid for the following modalities: US MRI."/>
  </concept>
  <concept>
    <code value="PectoralisMuscleInvolvement"/>
    <display value="Pectoralis muscle involvement"/>
    <definition
                value="Pectoralis muscle involvement of the tumor has been 
detected on the MRI by muscle 
enhancement with obliteration of the fat plane between 
the tumor and the muscle. 
pubs.rsna.org &gt; doi &gt; pdf 


Valid for the following modalities: MRI."/>
  </concept>
  <concept>
    <code value="PectoralisMuscleTenting"/>
    <display value="Pectoralis muscle tenting"/>
    <definition
                value="The tent sign is a term referring to a characteristic 
appearance of the posterior 
edge of the breast parenchyma when a mass (usually 
an infiltrating lesion) causes 
its retraction and forms an inverted &quot;V&quot; that resembles 
the tip of a circus tent. 
[https://radiopaedia.org/articles/tent-sign-breast?lang=us] 

Valid for the following modalities: US MRI."/>
  </concept>
  <concept>
    <code value="PostSurgicalScar"/>
    <display value="Post surgical scar"/>
    <definition
                value="Post surgical scarring happens because of the incisions 
needed to surgically remove 
tumor, cells, etc. 
The amount of scarring is connected to the different 
stages of wound healing. 
Surgical scar care should be continued for a year. 


Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="Seroma"/>
    <display value="Seroma"/>
    <definition
                value="A breast seroma is a collection (pocket) of serous 
fluid that can develop after trauma 
to the breast or following procedures such as breast 
surgery or radiation therapy. 
Serous fluid is a pale yellow, transparent fluid 
that contains protein, but no blood 
cells or pus. 
[https://www.verywellhealth.com/seroma-medical-definition-430372] 

Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="SkinInvolvement"/>
    <display value="Skin involvement"/>
    <definition
                value="The mass or lesion has attached itself to the skin 
of the breast. 
There are several layers of skin that the mass or 
lesion can penetrate and that is 
what determines the level of skin invasion. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="SkinLesion"/>
    <display value="Skin lesion"/>
    <definition
                value="A skin lesion is a part of the skin that has an abnormal 
growth or appearance compared 
to the skin around it.In order to diagnose a skin 
lesion, a full physical exam is necessary. 


Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="SkinRetraction"/>
    <display value="Skin retraction"/>
    <definition
                value="Skin retraction (or inversion) or Skin retraction. 
Breast cancers that are located near the skin or 
nipple may cause scarring within 
the breast that pulls at the nipple or nearby skin. 
Skin and nipple retraction are more obvious when 
a woman raises her arms above her 
head or leans forward. 
[https://www.drholmesmd.com/blog/early-signs-of-breast-cancer] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="SkinThickening"/>
    <display value="Skin thickening"/>
    <definition
                value="The presence of skin thickening on mammography is 
variably defined, usually being 
more than 2 mm in thickness. 
It can result from a number of both benign and malignant 
causes. 
[https://radiopaedia.org/articles/skin-thickening-on-mammography-differential?lang=us] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="SurgicalClip"/>
    <display value="Surgical clip"/>
    <definition
                value="Most surgical clips are currently made of titanium, 
and as many as 30 to 40 clips 
may be used during a single surgical procedure. 
Surgical clips may remain inside the patient&#39;s body 
after the wounds are healed. 


Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="TrabecularThickening"/>
    <display value="Trabecular thickening"/>
    <definition
                value="Trabecular thickening-thickening of the Cooper&#39;s ligaments 
and fibrous stroma-is 
an imaging finding of breast edema, usually secondary 
to dilated lymphatics. 
Skin thickening and trabecular thickening often occur 
together, and they have similar 
differential diagnoses. 
[https://oxfordmedicine.com/view/10.1093/med/9780190270261.001.0001/med-9780190270261-chapter-48] 

Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="CalcificationInMass"/>
    <display value="Calcification in mass"/>
    <definition
                value="Calcifications usually can&#39;t be felt, but appear 
on a mammogram. 
Depending on how calcifications are clustered; shape, 
size, and number, further tests may be necessary. 
Larger &quot;macrocalcifications&quot; are usually not associated 
with cancer. 


Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="CalcificationNotOnMammogarm"/>
    <display value="Calcification Not on mammogarm"/>
    <definition
                value="Calcifications usually can&#39;t be felt, but appear 
on a mammogram. 
Calcifications can be clustered and their shape, 
size, and number. 
Large &quot;macrocalcifications&quot; are usually not associated 
with cancer. 


Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="CalcificationOnMammogram"/>
    <display value="Calcification on mammogram"/>
    <definition
                value="Calcifications are small deposits of calcium that 
show up on mammograms as bright 
white specks or dots on the soft tissue background 
of the breasts. 
The calcium readily absorbs the X-rays from mammograms 


Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="Calcifications"/>
    <display value="Calcifications"/>
    <definition
                value="Calcifications are small deposits of calcium that 
show up on mammograms as bright 
white specks or dots on the soft tissue background 
of the breasts. 


Valid for the following modalities: MG US."/>
  </concept>
  <concept>
    <code value="MicroCalcifications"/>
    <display value="Micro calcifications"/>
    <definition
                value="Micro-calcifications show up as fine, white specks 
in a mammogram, similar to grains of salt; usually 
noncancerous, but certain patterns can be an early 
sign of cancer. 


Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="MilkOfCalcium"/>
    <display value="Milk of calcium"/>
    <definition
                value="The term milk of calcium (MOC) is given to dependent, 
sedimented calcification within 
a cystic structure or hollow organ. 
This sort of colloidal calcium suspension layering 
can occur in various regions. 
[https://radiopaedia.org/articles/milk-of-calcium-disambiguation?lang=us] 

Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="RimCalcifications"/>
    <display value="Rim calcifications"/>
    <definition
                value="These are very thin benign calcifications that appear 
as calcium is deposited on 
the surface of a sphere. 
Although fat necrosis can produce these thin deposits, 
calcifications in the wall 
of cysts are the most common &#39;rim&#39; calcifications. 


Valid for the following modalities: US."/>
  </concept>
</CodeSystem>