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

Consistent With CodeSystem - XML Representation

(back to description)

Raw xml

Source view


<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="ConsistentWithCodeSystemCS"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>Consistent With CodeSystem</h2><div><p>ConsistentWith code system</p>
</div><p>This code system http://hl7.org/fhir/us/breast-radiology/CodeSystem/ConsistentWithCodeSystemCS 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">Abscess<a name="ConsistentWithCodeSystemCS-Abscess"> </a></td><td>Abscess</td><td>An area within the body tissue that is swollen and 
contains an accumulation of pus. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">Angiolipoma<a name="ConsistentWithCodeSystemCS-Angiolipoma"> </a></td><td>Angiolipoma</td><td>Angiolipoma is a rare type of lipoma - a growth made 
of fat and blood vessels that 
develops under the skin. 
Unlike other types of lipomas, angiolipomas are 
often painful or tender. 
[https://www.healthline.com/health/angiolipoma] 

Valid for the following modalities: US MRI.</td></tr><tr><td style="white-space:nowrap">ApocrineMetaplasia<a name="ConsistentWithCodeSystemCS-ApocrineMetaplasia"> </a></td><td>Apocrine metaplasia</td><td>A benign condition; Apocrine Metaplasia refers to 
a particular type of cell change. 
This is a type of 'umbrella term' that relates to a 
variety of cystic breast disorders. 
The epithelial cells are undergoing an unexpected 
change. 
These breast changes may show on a mammogram and 
biopsy as a mass or benign lesion, 
or possibly even develop into a palpable mass. 
[https://breast-cancer.ca/apo-meta/] 

Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">Artifact<a name="ConsistentWithCodeSystemCS-Artifact"> </a></td><td>Artifact</td><td>X-ray artifacts can present in a variety of ways 
including abnormal shadows noted 
on a radiograph or degraded image quality, and have 
been produced by artificial means 
from hardware failure, operator error and software 
(post-processing) artifacts. 
There are common and distinct artifacts for film, 
computed (CR) and digital radiography 
(DR). 
Common causes are improper handling of the films 
errors while processing the films 
patient movement while taking the image. 
[https://radiopaedia.org/articles/x-ray-artifacts?lang=us] 

Valid for the following modalities: NM.</td></tr><tr><td style="white-space:nowrap">AtypicalHyperplasia<a name="ConsistentWithCodeSystemCS-AtypicalHyperplasia"> </a></td><td>Atypical hyperplasia</td><td>Atypical hyperplasia is a precancerous condition 
that affects cells in the breast. 
Atypical hyperplasia describes an accumulation of 
abnormal cells in the breast. 
Atypical hyperplasia isn't cancer, but it can be 
a forerunner to the development 
of breast cancer. 
Over the course of the lifetime, if the atypical 
hyperplasia cells keep dividing 
and become more abnormal, this can transition into 
noninvasive breast cancer (carcinoma 
in situ) or invasive breast cancer. 
[https://www.mayoclinic.org/diseases-conditions/atypical-hyperplasia/symptoms-causes/syc-20369773] 

Valid for the following modalities: MRI.</td></tr><tr><td style="white-space:nowrap">AxillaryLymphNode<a name="ConsistentWithCodeSystemCS-AxillaryLymphNode"> </a></td><td>Axillary lymph node</td><td>Axillary lymph nodes are the lymph nodes located 
in the armpits. 
They can become enlarged in many conditions including 
infections, lymphomas, and 
breast cancers. 
Lymph nodes are small structures located all over 
the body around blood vessels that 
act as filters and can accumulate germs or cancer 
cells. 
They are a part of the lymph system of the body. 
[https://www.verywellhealth.com/axillary-lymph-nodes-2252131] 

Valid for the following modalities: NM.</td></tr><tr><td style="white-space:nowrap">Carcinoma<a name="ConsistentWithCodeSystemCS-Carcinoma"> </a></td><td>Carcinoma</td><td>Carcinoma is a type of cancer that starts in cells 
that make up the skin or the tissue 
lining organs. 


Valid for the following modalities: MG US MRI NM.</td></tr><tr><td style="white-space:nowrap">CarcinomaKnown<a name="ConsistentWithCodeSystemCS-CarcinomaKnown"> </a></td><td>Carcinoma known</td><td>Imaging tests used in diagnosing cancer may include 
a computerized tomography (CT) 
scan, bone scan, magnetic resonance imaging (MRI), 
(PET) scan, ultrasound and X-ray, 
among others. 
In most cases, a biopsy is the only way to definitively 
diagnose cancer. 
Most breast cancers are carcinomas, which are tumors 
that start in the epithelial 
cells that line organs and tissues throughout the 
body. 
When carcinomas form in the breast, they are usually 
a more specific type called 
adenocarcinoma, which starts in cells in the ducts 
(the milk ducts) or the lobules 
(milk-producing glands). 
www.mayoclinic.org &gt; cancer &gt; diagnosis-treatment &gt; 
drc-20370594 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">ClusterOfCysts<a name="ConsistentWithCodeSystemCS-ClusterOfCysts"> </a></td><td>Cluster of cysts</td><td>A breast cyst is a non-cancerous (benign) fluid-filled 
sac in the breast. 
Some cysts are too small to feel and others may 
be large and uncomfortable. 
Sometimes there are clusters of cysts in one breast 
or both. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">Cyst<a name="ConsistentWithCodeSystemCS-Cyst"> </a></td><td>Cyst</td><td>A breast cyst is a non-cancerous (benign) fluid-filled 
sac in the breast. 
Some cysts are too small to feel and others may 
be large and uncomfortable. 
Sometimes there are clusters of cysts in one breast 
or both. 


Valid for the following modalities: MG MRI.</td></tr><tr><td style="white-space:nowrap">CystComplex<a name="ConsistentWithCodeSystemCS-CystComplex"> </a></td><td>Cyst complex</td><td>Complex cysts have irregular or scalloped borders, 
thick walls, and some evidence 
of solid areas and/or debris in the fluid. 
These solid areas echo back the sound waves from 
the ultrasound. 
A complex cyst is sometimes aspirated, or drained 
with a fine needle, so that the 
fluid inside can be tested. 
If blood or any unusual cells are present, further 
testing may be needed to rule 
out breast cancer. 
[https://www.breastcancer.org/symptoms/benign/cysts] 

Valid for the following modalities: US MRI.</td></tr><tr><td style="white-space:nowrap">CystComplicated<a name="ConsistentWithCodeSystemCS-CystComplicated"> </a></td><td>Cyst complicated</td><td>Complicated cysts are &quot;in between&quot; simple and complex. 
Although they share most of the features of simple 
cysts, they tend to have some 
debris inside them and echo back some of the ultrasound 
waves. 
However, they don't have the thick walls or obvious 
solid components that a complex 
cyst has. 
[https://www.breastcancer.org/symptoms/benign/cysts] 

Valid for the following modalities: US MRI.</td></tr><tr><td style="white-space:nowrap">CystOil<a name="ConsistentWithCodeSystemCS-CystOil"> </a></td><td>Cyst oil</td><td>Oil cysts are filled with fluid that may feel smooth 
and squishy. 
Oil cysts are caused by the breakdown of fatty tissue. 


Valid for the following modalities: MG US.</td></tr><tr><td style="white-space:nowrap">CystSebaceous<a name="ConsistentWithCodeSystemCS-CystSebaceous"> </a></td><td>Cyst sebaceous</td><td>Sebaceous cysts are common noncancerous cysts of 
the skin. 
Cysts are abnormalities in the body that may contain 
liquid or semiliquid material. 
Sebaceous cysts are mostly found on the face, neck, 
or torso. 
They grow slowly and aren't life-threatening, but 
they may become uncomfortable if 
they go unchecked. 
www.healthline.com &gt; health &gt; sebaceous-cyst 


Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">CystSimple<a name="ConsistentWithCodeSystemCS-CystSimple"> </a></td><td>Cyst simple</td><td>Simple cysts have smooth, thin, regularly shaped 
walls and are completely filled 
with fluid. 
The sound waves sent out by the ultrasound test pass 
right through them, indicating 
there are no solid areas. 
Simple cysts are always benign. 
[https://www.breastcancer.org/symptoms/benign/cysts] 

Valid for the following modalities: US MRI.</td></tr><tr><td style="white-space:nowrap">CystsComplex<a name="ConsistentWithCodeSystemCS-CystsComplex"> </a></td><td>Cysts complex</td><td>Complex cysts have irregular or scalloped borders, 
thick walls, and some evidence 
of solid areas and/or debris in the fluid. 
These solid areas echo back the sound waves from 
the ultrasound. 
A complex cyst is sometimes aspirated, or drained 
with a fine needle, so that the 
fluid inside can be tested. 
If blood or any unusual cells are present, further 
testing may be needed to rule 
out breast cancer. 
[https://www.breastcancer.org/symptoms/benign/cysts] 

Valid for the following modalities: US MRI.</td></tr><tr><td style="white-space:nowrap">CystsComplicated<a name="ConsistentWithCodeSystemCS-CystsComplicated"> </a></td><td>Cysts complicated</td><td>Complicated cysts are &quot;in between&quot; simple and complex. 
Although they share most of the features of simple 
cysts, they tend to have some 
debris inside them and echo back some of the ultrasound 
waves. 
However, they don't have the thick walls or obvious 
solid components that a complex 
cyst has. 
[https://www.breastcancer.org/symptoms/benign/cysts] 

Valid for the following modalities: US MRI.</td></tr><tr><td style="white-space:nowrap">CystsMicroClustered<a name="ConsistentWithCodeSystemCS-CystsMicroClustered"> </a></td><td>Cysts micro clustered</td><td>Microcysts are tiny, microscopic cysts. 
Clustered microcysts are a cluster of these tiny 
cysts and only have fluid inside 
of them. 


Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">DCIS<a name="ConsistentWithCodeSystemCS-DCIS"> </a></td><td>DCIS</td><td>Ductal carcinoma in situ (DCIS) is the presence of 
abnormal cells inside a milk duct 
in the breast. 
DCIS is considered the earliest form of breast cancer. 
DCIS is noninvasive, meaning it hasn't spread out 
of the milk duct and has a low 
risk of becoming invasive. 
[https://www.mayoclinic.org/diseases-conditions/dcis/symptoms-causes/syc-20371889] 

Valid for the following modalities: MG US MRI NM.</td></tr><tr><td style="white-space:nowrap">Debris<a name="ConsistentWithCodeSystemCS-Debris"> </a></td><td>Debris</td><td>Debris is a substance that is anything other than 
a liquid inside of the cyst. 


Valid for the following modalities: MG US.</td></tr><tr><td style="white-space:nowrap">Deodorant<a name="ConsistentWithCodeSystemCS-Deodorant"> </a></td><td>Deodorant</td><td>Because estrogen can promote the growth of breast 
cancer cells, some scientists have 
suggested that the aluminum-based compounds in antiperspirants 
may contribute to 
the development of breast cancer. 
In addition, it has been suggested that aluminum 
may have direct activity in breast 
tissue. 
[https://www.cancer.gov/about-cancer/causes-prevention/risk/myths/antiperspirants-fact-sheet] 

Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">DermalCalcification<a name="ConsistentWithCodeSystemCS-DermalCalcification"> </a></td><td>Dermal calcification</td><td>Skin calcifications in the breast usually form in 
dermal sweat glands after low grade 
folliculitis and inspissation of sebaceous material. 
Calcifications may also form in moles and other skin 
lesions. 
Often, these calcifications are in groups as they 
extend into small glands in the 
skin. 
[https://radiopaedia.org/articles/skin-calcification-in-breast?lang=us] 

Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">DuctEctasia<a name="ConsistentWithCodeSystemCS-DuctEctasia"> </a></td><td>Duct ectasia</td><td>An abnormal dilation of a duct by lipids and cellular 
debris. 
In  mammary duct the condition, which tends mainly 
to affect postmenopausal women, 
may be accompanied by inflammation and infiltration 
by plasma cells. 
[https://www.hoafredericksburg.com/duct-ectasia/] 

Valid for the following modalities: US MRI.</td></tr><tr><td style="white-space:nowrap">Edema<a name="ConsistentWithCodeSystemCS-Edema"> </a></td><td>Edema</td><td>Breast edema is defined as a mammographic pattern 
of skin thickening, increased parenchymal 
density, and interstitial marking. 
It can be caused by benign or malignant diseases, 
as a result of a tumor in the dermal 
lymphatics of the breast, lymphatic congestion caused 
by breast, lymphatic drainage 
obstruction, or by congestive heart failure. 
[https://www.researchgate.net/publication/7988898_Unilateral_Breast_Edema_Spectrum_of_Etiologies_and_Imaging_Appearances] 

Valid for the following modalities: US MRI.</td></tr><tr><td style="white-space:nowrap">FatLobule<a name="ConsistentWithCodeSystemCS-FatLobule"> </a></td><td>Fat lobule</td><td>Fat Lobule. 
The normal breast is composed of numerous fat lobules 
mixed with dense fibroglandular 
tissue. 
Fat lobule in breast. 
Yes. 
Breast tissue is composed of functional elements 
(glands and ducts) as well as structural 
elements (connective tissue and vessels). 
The connective tissue (or stroma) in the breast is 
composed of various proportions 
of fat and fibrous tissue. 


Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">FatNecrosis<a name="ConsistentWithCodeSystemCS-FatNecrosis"> </a></td><td>Fat necrosis</td><td>Breasts are made up of lobules (milk-producing glands) 
and ducts (tubes that carry 
milk to the nipple). 
These are surrounded by glandular, fibrous and fatty 
tissue. 
Sometimes a lump can form if an area of the fatty 
breast tissue is damaged. 
This is called fat necrosis (necrosis is a medical 
term used to describe damaged 
or dead tissue). 
[https://breastcancernow.org/information-support/have-i-got-breast-cancer/breast-pain-other-benign-conditions/fat-necrosis] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">Fibroadenolipoma<a name="ConsistentWithCodeSystemCS-Fibroadenolipoma"> </a></td><td>Fibroadenolipoma</td><td>Another name for Hamartomas, Hamartomas represent 
benign proliferation of fibrous, 
glandular, and fatty tissue (hence fibro-adeno-lipoma) 
surrounded by a thin capsule 
of connective tissue. 
All components are found in normal breast tissue, 
which is why the lesions are considered 
hamartomatous. 
[https://radiopaedia.org/articles/breast-hamartoma?lang=us] 

Valid for the following modalities: MG US.</td></tr><tr><td style="white-space:nowrap">Fibroadenoma<a name="ConsistentWithCodeSystemCS-Fibroadenoma"> </a></td><td>Fibroadenoma</td><td>Fibroadenomas are common benign (non-cancerous) breast 
tumors made up of both glandular 
tissue and stromal (connective) tissue. 
Fibroadenomas are most common in women in their 20s 
and 30s, but they can be found 
in women of any age. 
They tend to shrink after a woman goes through menopause. 
[https://www.cancer.org/cancer/breast-cancer/non-cancerous-breast-conditions/fibroadenomas-of-the-breast.html] 

Valid for the following modalities: MG US MRI NM.</td></tr><tr><td style="white-space:nowrap">FibroadenomaDegenerating<a name="ConsistentWithCodeSystemCS-FibroadenomaDegenerating"> </a></td><td>Fibroadenoma degenerating</td><td>These are non-cancerous breast lumps. 
Fibroadenomas usually go away with age. 
By the time an individual is menopausal, Fibroadenomas 
degenerate. 


Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">FibrocysticChange<a name="ConsistentWithCodeSystemCS-FibrocysticChange"> </a></td><td>Fibrocystic change</td><td>Fibrocystic breast changes lead to the development 
of fluid-filled round or oval 
sacs (cysts) and more prominent scar-like (fibrous) 
tissue, which can make breasts 
feel tender, lumpy or ropy. 
Fibrocystic breasts are composed of tissue that feels 
lumpy or rope-like in texture. 
This is called nodular or glandular breast tissue. 
[https://www.mayoclinic.org/diseases-conditions/fibrocystic-breasts/symptoms-causes/syc-20350438] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">FibroglandularTissue<a name="ConsistentWithCodeSystemCS-FibroglandularTissue"> </a></td><td>Fibroglandular tissue</td><td>Fibrocystic breast changes lead to the development 
of fluid-filled round or oval 
sacs (cysts) and more prominent scar-like (fibrous) 
tissue, which can make breasts 
feel tender, lumpy or ropy. 
Fibrocystic breasts are composed of tissue that feels 
lumpy or rope-like in texture. 
This is called nodular or glandular breast tissue. 
[https://www.mayoclinic.org/diseases-conditions/fibrocystic-breasts/symptoms-causes/syc-20350438] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">Fibrosis<a name="ConsistentWithCodeSystemCS-Fibrosis"> </a></td><td>Fibrosis</td><td>Fibrosis may refer to the connective tissue deposition 
that occurs as part of normal 
healing or to the excess tissue deposition that occurs 
as a pathological process. 
When fibrosis occurs in response to injury, the term 
&quot;scarring&quot; is used. 
[https://www.news-medical.net/health/What-is-Fibrosis.aspx] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">FibrousRidge<a name="ConsistentWithCodeSystemCS-FibrousRidge"> </a></td><td>Fibrous ridge</td><td>Fibrous tissue, which extends under the skin, from 
the front of the breast to the 
back of the chest wall, supports the breast and gives 
it shape. 
Strands of supportive tissue surround the breast 
and form a prominent ridge called 
the inframammary ridge. 
[https://www.stjoeshealth.org/find-a-service-or-specialty/womens-health/] 

Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">Folliculitis<a name="ConsistentWithCodeSystemCS-Folliculitis"> </a></td><td>Folliculitis</td><td>Folliculitis is the inflammation of hair follicles 
due to an infection, injury, or 
irritation. 
It is characterized by tender, swollen areas that 
form around hair follicles, often 
on the neck, breasts, buttocks, and face. 
Boils (also referred to as furuncles) are pus-filled 
lesions that are painful and 
usually firm. 
[https://www.hopkinsmedicine.org/health/conditions-and-diseases/folliculitis-boils-and-carbuncles] 

Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">Gynecomastia<a name="ConsistentWithCodeSystemCS-Gynecomastia"> </a></td><td>Gynecomastia</td><td>Gynecomastia is an enlargement or swelling of breast 
tissue in males. 
It is most commonly caused by male estrogen levels 
that are too high or are out of 
balance with testosterone levels. 
[https://my.clevelandclinic.org/health/diseases/16227-enlarged-male-breast-tissue-gynecomastia] 

Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">Hamartoma<a name="ConsistentWithCodeSystemCS-Hamartoma"> </a></td><td>Hamartoma</td><td>A benign (not cancer) growth made up of an abnormal 
mixture of cells and tissues 
normally found in the area of the body where the 
growth occurs. 
[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/hamartoma] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">Hematoma<a name="ConsistentWithCodeSystemCS-Hematoma"> </a></td><td>Hematoma</td><td>A breast hematoma is a collection of blood that forms 
under the skin's surface. 
It's not unlike having a large bruise in your breast. 
The mass it forms is not cancerous, but it can sometimes 
lead to inflammation, fever, 
skin discoloration, and may leave behind scar tissue 
that mimics the shape of a breast 
tumor. 
[https://www.verywellhealth.com/breast-hematomas-430281] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">HormonalStimulation<a name="ConsistentWithCodeSystemCS-HormonalStimulation"> </a></td><td>Hormonal stimulation</td><td>Hormonal effects of certain medications including 
antihypertensives, antidepressants, 
H2 blockers, 
illicit drugs, and endocrine active tumors stimulate 
development of rudimentary breast 
tissue. 
[Breast Imaging Reporting and Data System—Mammography, Fifth Edition] 

Valid for the following modalities: US.</td></tr><tr><td style="white-space:nowrap">IntracysticLesion<a name="ConsistentWithCodeSystemCS-IntracysticLesion"> </a></td><td>Intracystic lesion</td><td>Intracystic tumors of the breast are uncommon and, 
at the time of ultrasonography 
and aspiration cytology, it is difficult to distinguish 
cancer from a benign tumor. 
[https://www.ncbi.nlm.nih.gov/pubmed/11911303] 

Valid for the following modalities: US NM.</td></tr><tr><td style="white-space:nowrap">IntramammaryNode<a name="ConsistentWithCodeSystemCS-IntramammaryNode"> </a></td><td>Intramammary node</td><td>These are lymph  nodes within the breast tissue. 
They are generally 1 cm or smaller 
in size. 
They frequently occur in the lateral and usually 
upper portions of the breast closer 
to the 
axilla (armpit area), although they may occur anywhere 
in the breast. 
They usually are seen adjacent to a vein, because 
the lymphatic drainage of the breast 
parallels the venous drainage. 
[Breast Imaging Reporting and Data System—Mammography, Fifth Edition] 

Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">Lipoma<a name="ConsistentWithCodeSystemCS-Lipoma"> </a></td><td>Lipoma</td><td>A lipoma is a slow-growing, fatty lump that's most 
often situated between the skin 
and the underlying muscle layer. 
A lipoma, which feels doughy and usually isn't tender, 
moves readily with slight 
finger pressure. 
Lipomas are usually detected in middle age. 
Some people have more than one lipoma.A lipoma isn't 
cancer and usually is harmless. 
www.mayoclinic.org &gt; lipoma &gt; symptoms-causes &gt; syc-20374470 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">LumpectomyCavity<a name="ConsistentWithCodeSystemCS-LumpectomyCavity"> </a></td><td>Lumpectomy cavity</td><td>With a lumpectomy, the surgeon removes only the tumor 
and a small amount of normal 
surrounding tissue. 
The cavity is the hollow area or hole left behind 
after the tumor and surrounding 
tissue is removed. 


Valid for the following modalities: US MRI.</td></tr><tr><td style="white-space:nowrap">LumpectomySite<a name="ConsistentWithCodeSystemCS-LumpectomySite"> </a></td><td>Lumpectomy site</td><td>The area of the breast where the incision is made 
during the lumpectomy. 


Valid for the following modalities: MRI.</td></tr><tr><td style="white-space:nowrap">LymphNode<a name="ConsistentWithCodeSystemCS-LymphNode"> </a></td><td>Lymph node</td><td>A small bean-shaped structure that is part of the 
body's immune system. 
Lymph nodes filter substances that travel through 
the lymphatic fluid, and they contain 
lymphocytes (white blood cells) that help the body 
fight infection and disease. 
There are hundreds of lymph nodes found throughout 
the body. 
They are connected to one another by lymph vessels. 
Clusters of lymph nodes are found in the neck, axilla 
(underarm), chest, abdomen, 
and groin. 
For example, there are about 20-40 lymph nodes in 
the axilla. 
Also called lymph gland. 
[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/lymph-node] 

Valid for the following modalities: MG US MRI NM.</td></tr><tr><td style="white-space:nowrap">LymphNodeEnlarged<a name="ConsistentWithCodeSystemCS-LymphNodeEnlarged"> </a></td><td>Lymph node enlarged</td><td>Enlarged or swollen lymph nodes usually indicate 
a common infection, but can 
also signal a medical condition, such as an immune 
disorder or, rarely, a type of 
cancer. 
Lymph nodes are small, round structures that play 
a vital role in the body's immune 
system. 
Swollen lymph nodes are also known as swollen glands. 


Valid for the following modalities: US MRI.</td></tr><tr><td style="white-space:nowrap">LymphNodeNormal<a name="ConsistentWithCodeSystemCS-LymphNodeNormal"> </a></td><td>Lymph node normal</td><td>Lymph nodes filter substances that travel through 
the lymphatic fluid, and they contain 
lymphocytes (white blood cells) that help the body 
fight infection and disease. 
There are hundreds of lymph nodes found throughout 
the body. 
The lymph nodes are connected to one another by 
lymph vessels. 
Clusters of lymph nodes are found in the neck, axilla 
(underarm), chest, abdomen, 
and groin. 
A normal sized lymph node is about pea-sized or bean-sized 
(or smaller than 1/2 inch 
or 12mm). 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">LymphNodePathological<a name="ConsistentWithCodeSystemCS-LymphNodePathological"> </a></td><td>Lymph node pathological</td><td>Lymphadenopathy (or adenopathy) is, if anything, 
a broader term, referring to any 
pathology of lymph nodes, not necessarily resulting 
in increased size; this includes 
abnormal number of nodes, or derangement of internal 
architecture (e.g. 
cystic or necrotic nodes). 
[https://radiopaedia.org/articles/lymph-node-enlargement?lang=us] 

Valid for the following modalities: MRI.</td></tr><tr><td style="white-space:nowrap">MassSolid<a name="ConsistentWithCodeSystemCS-MassSolid"> </a></td><td>Mass solid</td><td>An abnormal mass of tissue that usually does not 
contain cysts or liquid areas. 
Solid masses or tumors may be benign (not cancer), 
or malignant (cancer). 
Different types of solid mass/ tumors are named for 
the type of cells that form them. 
Examples of solid tumors are sarcomas, carcinomas, 
and lymphomas. 
Leukemias (cancer of the blood) generally do not 
form solid mass/tumors. 
[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/solid-tumor] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">MassSolidW/tumorVasc<a name="ConsistentWithCodeSystemCS-MassSolidW.47tumorVasc"> </a></td><td>Mass solid w/tumor vasc</td><td>An abnormal mass of tissue that usually does not 
contain cysts or liquid areas. 
Solid masses or tumors may be benign (not cancer), 
or malignant (cancer). 
Different types of solid mass/ tumors are named for 
the type of cells that form them. 
Examples of solid tumors are sarcomas, carcinomas, 
and lymphomas. 
Leukemias (cancer of the blood) generally do not 
form solid mass/tumors. 
A vascular tumor is a type of tumor that forms from 
cells that make blood vessels 
or lymph vessels. 
Vascular tumors may be benign (not cancer) or malignant 
(cancer) and can occur anywhere 
in the body. 
They may form on the skin, in the tissues below the 
skin, and/or in an organ. 
There are many types of vascular tumors. 
[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/solid-tumor ] 

https://www.cancer.gov/publications/dictionaries/cancer-terms/def/vascular-tumor 


Valid for the following modalities: MRI.</td></tr><tr><td style="white-space:nowrap">Mastitis<a name="ConsistentWithCodeSystemCS-Mastitis"> </a></td><td>Mastitis</td><td>Infection of the breast tissue resulting in pain, 
swelling, warmth and redness. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">MilkOfCalcium<a name="ConsistentWithCodeSystemCS-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: MG.</td></tr><tr><td style="white-space:nowrap">Multi-focalCancer<a name="ConsistentWithCodeSystemCS-Multi-focalCancer"> </a></td><td>Multi-focal cancer</td><td>Multifocal breast cancer occurs when there are two 
or more tumors in the same breast. 
All of the tumors begin in one original tumor. 
The tumors are also all in the same quadrant - or 
section - of the breast. 
[https://www.healthline.com/health/breast-cancer/multifocal-breast-cancer] 

Valid for the following modalities: NM.</td></tr><tr><td style="white-space:nowrap">PapillaryLesion<a name="ConsistentWithCodeSystemCS-PapillaryLesion"> </a></td><td>Papillary lesion</td><td>Breast papillary lesions are characterised by growth 
inside the milk ducts, and they 
represent a heterogeneous pathology. 
They are rare and constitute less than 10% of benign 
breast lesions and less than 
1% of malignant breast neoplasms. 
Breast papillary lesions are usually detected by 
imaging or clinically by the presence 
of a palpable breast mass or unilateral spontaneous 
nipple discharge. 
[https://ecancer.org/es/journal/article/461-breast-papillary-lesions-an-analysis-of-70-cases] 

Valid for the following modalities: MG US.</td></tr><tr><td style="white-space:nowrap">Papilloma<a name="ConsistentWithCodeSystemCS-Papilloma"> </a></td><td>Papilloma</td><td>Intraductal papillomas are benign (non-cancerous), 
wart-like tumors that grow within 
the milk ducts of the breast. 
They are made up of gland tissue along with fibrous 
tissue and blood vessels (called 
fibrovascular tissue). 
[https://www.cancer.org/cancer/breast-cancer/non-cancerous-breast-conditions/intraductal-papillomas.html] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">PhyllodesTumor<a name="ConsistentWithCodeSystemCS-PhyllodesTumor"> </a></td><td>Phyllodes tumor</td><td>Phyllodes tumors of the breast are rare, accounting 
for less than 1% of all breast 
tumors. 
The name &quot;phyllodes,&quot; which is taken from the Greek 
language and means &quot;leaflike,&quot; refers 
to that fact that the tumor cells grow in a leaflike 
pattern. 
Other names for these tumors are phylloides tumor 
and cystosarcoma phyllodes. 
Phyllodes tumors tend to grow quickly, but they rarely 
spread outside the breast. 
Although most phyllodes tumors are benign (not cancerous), 
some are malignant (cancerous) 
and some are borderline (in between noncancerous 
and cancerous). 
All three kinds of phyllodes tumors tend to grow 
quickly, and they require surgery 
to reduce the risk of a phyllodes tumor coming back 
in the breast (local recurrence). 
[https://www.breastcancer.org/symptoms/types/phyllodes] 

Valid for the following modalities: US MRI.</td></tr><tr><td style="white-space:nowrap">PostLumpectomyScar<a name="ConsistentWithCodeSystemCS-PostLumpectomyScar"> </a></td><td>Post lumpectomy scar</td><td>This is scarring that occurs from the lumpectomy 
site. 
It can include nerve pain or numbness if scar tissue 
forms around nerves. 
A lump of scar tissue forms in the hole left after 
breast tissue is removed. 
If scar tissue forms around a stitch from surgery 
it's called a suture granuloma 
and also feels like a lump. 
Changes in breast appearance. 
Scar tissue and fluid retention can make breast tissue 
appear a little firmer or 
rounder than before surgery and/or radiation. 
[https://www.breastcancer.org/treatment/side_effects/scar_tissue] 

Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">PostSurgicalScar<a name="ConsistentWithCodeSystemCS-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 NM.</td></tr><tr><td style="white-space:nowrap">PreviousBiopsy<a name="ConsistentWithCodeSystemCS-PreviousBiopsy"> </a></td><td>Previous biopsy</td><td>Findings on mammogram are  consistent with previous 
biopsy. 


Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">PreviousSurgery<a name="ConsistentWithCodeSystemCS-PreviousSurgery"> </a></td><td>Previous surgery</td><td>Findings on mammogram are consistent with previous 
surgery. 


Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">PreviousTrauma<a name="ConsistentWithCodeSystemCS-PreviousTrauma"> </a></td><td>Previous trauma</td><td>Findings on mammogram are consistent with previous 
trauma to breast. 


Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">RadialScar<a name="ConsistentWithCodeSystemCS-RadialScar"> </a></td><td>Radial scar</td><td>Radial scar is a growth that looks like a scar when 
the tissue is viewed under a 
microscope. 
It has a central core containing benign ducts. 
Growing out of this core are ducts and lobules that 
show evidence of unusual changes 
such as cysts and epithelial hyperplasia (overgrowth 
of their inner lining). 
Often, more than one radial scar is present. 
Another term for this condition is complex sclerosing 
lesions. 
[https://www.breastcancer.org/symptoms/benign/radial-scars] 

Valid for the following modalities: MG US.</td></tr><tr><td style="white-space:nowrap">RadiationChanges<a name="ConsistentWithCodeSystemCS-RadiationChanges"> </a></td><td>Radiation changes</td><td>Radiation levels during radiation therapy may change 
as a result of side effects 
or to complete a more aggressive cancer treatment. 


Valid for the following modalities: MRI.</td></tr><tr><td style="white-space:nowrap">RadiationTherapy<a name="ConsistentWithCodeSystemCS-RadiationTherapy"> </a></td><td>Radiation therapy</td><td>The use of high-energy radiation from x-rays, gamma 
rays, neutrons, protons, and 
other sources to kill cancer cells and shrink tumors. 
Radiation may come from a machine outside the body 
(external-beam radiation therapy), 
or it may come from radioactive material placed in 
the body near cancer cells (internal 
radiation therapy or brachytherapy). 
Systemic radiation therapy uses a radioactive substance, 
such as a radiolabeled monoclonal 
antibody, that travels in the blood to tissues throughout 
the body. 
Also called irradiation and radiotherapy. 
[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/44971] 

Valid for the following modalities: MRI.</td></tr><tr><td style="white-space:nowrap">Scar<a name="ConsistentWithCodeSystemCS-Scar"> </a></td><td>Scar</td><td>Scar tissue forms as part of the healing process 
after a skin injury. 
A scar is fibrous tissue made of collagen that replaces 
the injured skin. 
[https://www.breastcancer.org/treatment/side_effects/scar_tissue] 

Valid for the following modalities: US MRI.</td></tr><tr><td style="white-space:nowrap">ScarWithShadowing<a name="ConsistentWithCodeSystemCS-ScarWithShadowing"> </a></td><td>Scar with shadowing</td><td>In cases when the appropriate history is not available, 
a postsurgical scar may mimic 
a malignancy. 
At sonographic evaluation, an area of posterior acoustic 
shadowing may be seen. 
This lack of a central mass helps differentiate 
a scar from a carcinoma, which has 
shadowing arising from a central mass. 
onlinelibrary.wiley.com &gt; doi &gt; full &gt; jum.2004.23.1.73 


Valid for the following modalities: US MRI.</td></tr><tr><td style="white-space:nowrap">SclerosingAdenosis<a name="ConsistentWithCodeSystemCS-SclerosingAdenosis"> </a></td><td>Sclerosing adenosis</td><td>Sclerosing adenosis is a type of adenosis in which 
enlarged acini become slightly 
distorted by surrounded stromal fibrosis (&quot;sclerosis&quot;). 
The normal lobular architecture of the breast is 
maintained, but becomes exaggerated 
and distorted. 


Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">SecretoryCalcification<a name="ConsistentWithCodeSystemCS-SecretoryCalcification"> </a></td><td>Secretory calcification</td><td>Secretory calcifications are benign calcifications 
usually in women older than 60. 
They classically appear as solid or discontinuous, 
smooth, linear and rod-like calcifications. 
Usually bilateral and symmetric and may appear lucent-centered. 
Also known as plasma cell mastitis. 
[https://radiopaedia.org/cases/secretory-calcifications?lang=us] 

Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">SentinelNode<a name="ConsistentWithCodeSystemCS-SentinelNode"> </a></td><td>Sentinel node</td><td>The sentinel nodes are the first few lymph nodes 
into which a tumor drains. 
Sentinel node biopsy involves injecting a tracer 
material that helps the surgeon 
locate the sentinel nodes during surgery. 
The sentinel nodes are removed and analyzed in a 
laboratory. 
[https://www.mayoclinic.org/tests-procedures/sentinel-node-biopsy/about/pac-20385264] 

Valid for the following modalities: NM.</td></tr><tr><td style="white-space:nowrap">Seroma<a name="ConsistentWithCodeSystemCS-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 US MRI.</td></tr><tr><td style="white-space:nowrap">SkinLesion<a name="ConsistentWithCodeSystemCS-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. 
Primary skin lesions are abnormal skin conditions 
present at birth or acquired over 
a person's lifetime. 
Secondary skin lesions are the result of irritated 
or manipulated primary skin lesions. 
[https://www.healthline.com/health/skin-lesions] 

Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">Surgery<a name="ConsistentWithCodeSystemCS-Surgery"> </a></td><td>Surgery</td><td>The branch of medicine that employs operations in 
the treatment of disease or injury. 
Surgery can involve cutting, abrading, suturing, 
or otherwise physically changing 
body tissues and organs. 
[https://www.medicinenet.com/script/main/art.asp?articlekey=5603] 

Valid for the following modalities: MRI.</td></tr><tr><td style="white-space:nowrap">Trauma<a name="ConsistentWithCodeSystemCS-Trauma"> </a></td><td>Trauma</td><td>Previous injury to breast consistent with surgery, 
infection, etc. 


Valid for the following modalities: MRI.</td></tr><tr><td style="white-space:nowrap">VascularCalcifications<a name="ConsistentWithCodeSystemCS-VascularCalcifications"> </a></td><td>Vascular calcifications</td><td>Parallel tracks, or linear tubular calcifications 
that are clearly associated with 
blood vessels. 
While most vascular calcification is not difficult 
to identify, if only a few discontinuous 
calcific 
particles are visible in a single location and if 
association with a tubular structure 
is questionable, 
then additional spot-compression magnification views 
may be needed to further characterize 
their nature. 
[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 38] 

Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">VenousStasis<a name="ConsistentWithCodeSystemCS-VenousStasis"> </a></td><td>Venous stasis</td><td>Venous stasis dermatitis happens when there's a problem 
with the veins, that keeps 
blood from moving through very well. 
As more fluid and pressure build, some of the blood 
leaks out of the veins and into 
the skin. 
[https://www.webmd.com/skin-problems-and-treatments/eczema/venous-stasis-dermatitis#1] 

Valid for the following modalities: NM.</td></tr></table></div>
  </text>
  <url
       value="http://hl7.org/fhir/us/breast-radiology/CodeSystem/ConsistentWithCodeSystemCS"/>
  <version value="0.2.0"/>
  <name value="ConsistentWithCodeSystemCS"/>
  <title value="Consistent With 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="ConsistentWith code system"/>
  <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="74"/>
  <concept>
    <code value="Abscess"/>
    <display value="Abscess"/>
    <definition
                value="An area within the body tissue that is swollen and 
contains an accumulation of pus. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="Angiolipoma"/>
    <display value="Angiolipoma"/>
    <definition
                value="Angiolipoma is a rare type of lipoma - a growth made 
of fat and blood vessels that 
develops under the skin. 
Unlike other types of lipomas, angiolipomas are 
often painful or tender. 
[https://www.healthline.com/health/angiolipoma] 

Valid for the following modalities: US MRI."/>
  </concept>
  <concept>
    <code value="ApocrineMetaplasia"/>
    <display value="Apocrine metaplasia"/>
    <definition
                value="A benign condition; Apocrine Metaplasia refers to 
a particular type of cell change. 
This is a type of &#39;umbrella term&#39; that relates to a 
variety of cystic breast disorders. 
The epithelial cells are undergoing an unexpected 
change. 
These breast changes may show on a mammogram and 
biopsy as a mass or benign lesion, 
or possibly even develop into a palpable mass. 
[https://breast-cancer.ca/apo-meta/] 

Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="Artifact"/>
    <display value="Artifact"/>
    <definition
                value="X-ray artifacts can present in a variety of ways 
including abnormal shadows noted 
on a radiograph or degraded image quality, and have 
been produced by artificial means 
from hardware failure, operator error and software 
(post-processing) artifacts. 
There are common and distinct artifacts for film, 
computed (CR) and digital radiography 
(DR). 
Common causes are improper handling of the films 
errors while processing the films 
patient movement while taking the image. 
[https://radiopaedia.org/articles/x-ray-artifacts?lang=us] 

Valid for the following modalities: NM."/>
  </concept>
  <concept>
    <code value="AtypicalHyperplasia"/>
    <display value="Atypical hyperplasia"/>
    <definition
                value="Atypical hyperplasia is a precancerous condition 
that affects cells in the breast. 
Atypical hyperplasia describes an accumulation of 
abnormal cells in the breast. 
Atypical hyperplasia isn&#39;t cancer, but it can be 
a forerunner to the development 
of breast cancer. 
Over the course of the lifetime, if the atypical 
hyperplasia cells keep dividing 
and become more abnormal, this can transition into 
noninvasive breast cancer (carcinoma 
in situ) or invasive breast cancer. 
[https://www.mayoclinic.org/diseases-conditions/atypical-hyperplasia/symptoms-causes/syc-20369773] 

Valid for the following modalities: MRI."/>
  </concept>
  <concept>
    <code value="AxillaryLymphNode"/>
    <display value="Axillary lymph node"/>
    <definition
                value="Axillary lymph nodes are the lymph nodes located 
in the armpits. 
They can become enlarged in many conditions including 
infections, lymphomas, and 
breast cancers. 
Lymph nodes are small structures located all over 
the body around blood vessels that 
act as filters and can accumulate germs or cancer 
cells. 
They are a part of the lymph system of the body. 
[https://www.verywellhealth.com/axillary-lymph-nodes-2252131] 

Valid for the following modalities: NM."/>
  </concept>
  <concept>
    <code value="Carcinoma"/>
    <display value="Carcinoma"/>
    <definition
                value="Carcinoma is a type of cancer that starts in cells 
that make up the skin or the tissue 
lining organs. 


Valid for the following modalities: MG US MRI NM."/>
  </concept>
  <concept>
    <code value="CarcinomaKnown"/>
    <display value="Carcinoma known"/>
    <definition
                value="Imaging tests used in diagnosing cancer may include 
a computerized tomography (CT) 
scan, bone scan, magnetic resonance imaging (MRI), 
(PET) scan, ultrasound and X-ray, 
among others. 
In most cases, a biopsy is the only way to definitively 
diagnose cancer. 
Most breast cancers are carcinomas, which are tumors 
that start in the epithelial 
cells that line organs and tissues throughout the 
body. 
When carcinomas form in the breast, they are usually 
a more specific type called 
adenocarcinoma, which starts in cells in the ducts 
(the milk ducts) or the lobules 
(milk-producing glands). 
www.mayoclinic.org &gt; cancer &gt; diagnosis-treatment &gt; 
drc-20370594 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="ClusterOfCysts"/>
    <display value="Cluster of cysts"/>
    <definition
                value="A breast cyst is a non-cancerous (benign) fluid-filled 
sac in the breast. 
Some cysts are too small to feel and others may 
be large and uncomfortable. 
Sometimes there are clusters of cysts in one breast 
or both. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="Cyst"/>
    <display value="Cyst"/>
    <definition
                value="A breast cyst is a non-cancerous (benign) fluid-filled 
sac in the breast. 
Some cysts are too small to feel and others may 
be large and uncomfortable. 
Sometimes there are clusters of cysts in one breast 
or both. 


Valid for the following modalities: MG MRI."/>
  </concept>
  <concept>
    <code value="CystComplex"/>
    <display value="Cyst complex"/>
    <definition
                value="Complex cysts have irregular or scalloped borders, 
thick walls, and some evidence 
of solid areas and/or debris in the fluid. 
These solid areas echo back the sound waves from 
the ultrasound. 
A complex cyst is sometimes aspirated, or drained 
with a fine needle, so that the 
fluid inside can be tested. 
If blood or any unusual cells are present, further 
testing may be needed to rule 
out breast cancer. 
[https://www.breastcancer.org/symptoms/benign/cysts] 

Valid for the following modalities: US MRI."/>
  </concept>
  <concept>
    <code value="CystComplicated"/>
    <display value="Cyst complicated"/>
    <definition
                value="Complicated cysts are &quot;in between&quot; simple and complex. 
Although they share most of the features of simple 
cysts, they tend to have some 
debris inside them and echo back some of the ultrasound 
waves. 
However, they don&#39;t have the thick walls or obvious 
solid components that a complex 
cyst has. 
[https://www.breastcancer.org/symptoms/benign/cysts] 

Valid for the following modalities: US MRI."/>
  </concept>
  <concept>
    <code value="CystOil"/>
    <display value="Cyst oil"/>
    <definition
                value="Oil cysts are filled with fluid that may feel smooth 
and squishy. 
Oil cysts are caused by the breakdown of fatty tissue. 


Valid for the following modalities: MG US."/>
  </concept>
  <concept>
    <code value="CystSebaceous"/>
    <display value="Cyst sebaceous"/>
    <definition
                value="Sebaceous cysts are common noncancerous cysts of 
the skin. 
Cysts are abnormalities in the body that may contain 
liquid or semiliquid material. 
Sebaceous cysts are mostly found on the face, neck, 
or torso. 
They grow slowly and aren&#39;t life-threatening, but 
they may become uncomfortable if 
they go unchecked. 
www.healthline.com &gt; health &gt; sebaceous-cyst 


Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="CystSimple"/>
    <display value="Cyst simple"/>
    <definition
                value="Simple cysts have smooth, thin, regularly shaped 
walls and are completely filled 
with fluid. 
The sound waves sent out by the ultrasound test pass 
right through them, indicating 
there are no solid areas. 
Simple cysts are always benign. 
[https://www.breastcancer.org/symptoms/benign/cysts] 

Valid for the following modalities: US MRI."/>
  </concept>
  <concept>
    <code value="CystsComplex"/>
    <display value="Cysts complex"/>
    <definition
                value="Complex cysts have irregular or scalloped borders, 
thick walls, and some evidence 
of solid areas and/or debris in the fluid. 
These solid areas echo back the sound waves from 
the ultrasound. 
A complex cyst is sometimes aspirated, or drained 
with a fine needle, so that the 
fluid inside can be tested. 
If blood or any unusual cells are present, further 
testing may be needed to rule 
out breast cancer. 
[https://www.breastcancer.org/symptoms/benign/cysts] 

Valid for the following modalities: US MRI."/>
  </concept>
  <concept>
    <code value="CystsComplicated"/>
    <display value="Cysts complicated"/>
    <definition
                value="Complicated cysts are &quot;in between&quot; simple and complex. 
Although they share most of the features of simple 
cysts, they tend to have some 
debris inside them and echo back some of the ultrasound 
waves. 
However, they don&#39;t have the thick walls or obvious 
solid components that a complex 
cyst has. 
[https://www.breastcancer.org/symptoms/benign/cysts] 

Valid for the following modalities: US MRI."/>
  </concept>
  <concept>
    <code value="CystsMicroClustered"/>
    <display value="Cysts micro clustered"/>
    <definition
                value="Microcysts are tiny, microscopic cysts. 
Clustered microcysts are a cluster of these tiny 
cysts and only have fluid inside 
of them. 


Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="DCIS"/>
    <display value="DCIS"/>
    <definition
                value="Ductal carcinoma in situ (DCIS) is the presence of 
abnormal cells inside a milk duct 
in the breast. 
DCIS is considered the earliest form of breast cancer. 
DCIS is noninvasive, meaning it hasn&#39;t spread out 
of the milk duct and has a low 
risk of becoming invasive. 
[https://www.mayoclinic.org/diseases-conditions/dcis/symptoms-causes/syc-20371889] 

Valid for the following modalities: MG US MRI NM."/>
  </concept>
  <concept>
    <code value="Debris"/>
    <display value="Debris"/>
    <definition
                value="Debris is a substance that is anything other than 
a liquid inside of the cyst. 


Valid for the following modalities: MG US."/>
  </concept>
  <concept>
    <code value="Deodorant"/>
    <display value="Deodorant"/>
    <definition
                value="Because estrogen can promote the growth of breast 
cancer cells, some scientists have 
suggested that the aluminum-based compounds in antiperspirants 
may contribute to 
the development of breast cancer. 
In addition, it has been suggested that aluminum 
may have direct activity in breast 
tissue. 
[https://www.cancer.gov/about-cancer/causes-prevention/risk/myths/antiperspirants-fact-sheet] 

Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="DermalCalcification"/>
    <display value="Dermal calcification"/>
    <definition
                value="Skin calcifications in the breast usually form in 
dermal sweat glands after low grade 
folliculitis and inspissation of sebaceous material. 
Calcifications may also form in moles and other skin 
lesions. 
Often, these calcifications are in groups as they 
extend into small glands in the 
skin. 
[https://radiopaedia.org/articles/skin-calcification-in-breast?lang=us] 

Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="DuctEctasia"/>
    <display value="Duct ectasia"/>
    <definition
                value="An abnormal dilation of a duct by lipids and cellular 
debris. 
In  mammary duct the condition, which tends mainly 
to affect postmenopausal women, 
may be accompanied by inflammation and infiltration 
by plasma cells. 
[https://www.hoafredericksburg.com/duct-ectasia/] 

Valid for the following modalities: US MRI."/>
  </concept>
  <concept>
    <code value="Edema"/>
    <display value="Edema"/>
    <definition
                value="Breast edema is defined as a mammographic pattern 
of skin thickening, increased parenchymal 
density, and interstitial marking. 
It can be caused by benign or malignant diseases, 
as a result of a tumor in the dermal 
lymphatics of the breast, lymphatic congestion caused 
by breast, lymphatic drainage 
obstruction, or by congestive heart failure. 
[https://www.researchgate.net/publication/7988898_Unilateral_Breast_Edema_Spectrum_of_Etiologies_and_Imaging_Appearances] 

Valid for the following modalities: US MRI."/>
  </concept>
  <concept>
    <code value="FatLobule"/>
    <display value="Fat lobule"/>
    <definition
                value="Fat Lobule. 
The normal breast is composed of numerous fat lobules 
mixed with dense fibroglandular 
tissue. 
Fat lobule in breast. 
Yes. 
Breast tissue is composed of functional elements 
(glands and ducts) as well as structural 
elements (connective tissue and vessels). 
The connective tissue (or stroma) in the breast is 
composed of various proportions 
of fat and fibrous tissue. 


Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="FatNecrosis"/>
    <display value="Fat necrosis"/>
    <definition
                value="Breasts are made up of lobules (milk-producing glands) 
and ducts (tubes that carry 
milk to the nipple). 
These are surrounded by glandular, fibrous and fatty 
tissue. 
Sometimes a lump can form if an area of the fatty 
breast tissue is damaged. 
This is called fat necrosis (necrosis is a medical 
term used to describe damaged 
or dead tissue). 
[https://breastcancernow.org/information-support/have-i-got-breast-cancer/breast-pain-other-benign-conditions/fat-necrosis] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="Fibroadenolipoma"/>
    <display value="Fibroadenolipoma"/>
    <definition
                value="Another name for Hamartomas, Hamartomas represent 
benign proliferation of fibrous, 
glandular, and fatty tissue (hence fibro-adeno-lipoma) 
surrounded by a thin capsule 
of connective tissue. 
All components are found in normal breast tissue, 
which is why the lesions are considered 
hamartomatous. 
[https://radiopaedia.org/articles/breast-hamartoma?lang=us] 

Valid for the following modalities: MG US."/>
  </concept>
  <concept>
    <code value="Fibroadenoma"/>
    <display value="Fibroadenoma"/>
    <definition
                value="Fibroadenomas are common benign (non-cancerous) breast 
tumors made up of both glandular 
tissue and stromal (connective) tissue. 
Fibroadenomas are most common in women in their 20s 
and 30s, but they can be found 
in women of any age. 
They tend to shrink after a woman goes through menopause. 
[https://www.cancer.org/cancer/breast-cancer/non-cancerous-breast-conditions/fibroadenomas-of-the-breast.html] 

Valid for the following modalities: MG US MRI NM."/>
  </concept>
  <concept>
    <code value="FibroadenomaDegenerating"/>
    <display value="Fibroadenoma degenerating"/>
    <definition
                value="These are non-cancerous breast lumps. 
Fibroadenomas usually go away with age. 
By the time an individual is menopausal, Fibroadenomas 
degenerate. 


Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="FibrocysticChange"/>
    <display value="Fibrocystic change"/>
    <definition
                value="Fibrocystic breast changes lead to the development 
of fluid-filled round or oval 
sacs (cysts) and more prominent scar-like (fibrous) 
tissue, which can make breasts 
feel tender, lumpy or ropy. 
Fibrocystic breasts are composed of tissue that feels 
lumpy or rope-like in texture. 
This is called nodular or glandular breast tissue. 
[https://www.mayoclinic.org/diseases-conditions/fibrocystic-breasts/symptoms-causes/syc-20350438] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="FibroglandularTissue"/>
    <display value="Fibroglandular tissue"/>
    <definition
                value="Fibrocystic breast changes lead to the development 
of fluid-filled round or oval 
sacs (cysts) and more prominent scar-like (fibrous) 
tissue, which can make breasts 
feel tender, lumpy or ropy. 
Fibrocystic breasts are composed of tissue that feels 
lumpy or rope-like in texture. 
This is called nodular or glandular breast tissue. 
[https://www.mayoclinic.org/diseases-conditions/fibrocystic-breasts/symptoms-causes/syc-20350438] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="Fibrosis"/>
    <display value="Fibrosis"/>
    <definition
                value="Fibrosis may refer to the connective tissue deposition 
that occurs as part of normal 
healing or to the excess tissue deposition that occurs 
as a pathological process. 
When fibrosis occurs in response to injury, the term 
&quot;scarring&quot; is used. 
[https://www.news-medical.net/health/What-is-Fibrosis.aspx] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="FibrousRidge"/>
    <display value="Fibrous ridge"/>
    <definition
                value="Fibrous tissue, which extends under the skin, from 
the front of the breast to the 
back of the chest wall, supports the breast and gives 
it shape. 
Strands of supportive tissue surround the breast 
and form a prominent ridge called 
the inframammary ridge. 
[https://www.stjoeshealth.org/find-a-service-or-specialty/womens-health/] 

Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="Folliculitis"/>
    <display value="Folliculitis"/>
    <definition
                value="Folliculitis is the inflammation of hair follicles 
due to an infection, injury, or 
irritation. 
It is characterized by tender, swollen areas that 
form around hair follicles, often 
on the neck, breasts, buttocks, and face. 
Boils (also referred to as furuncles) are pus-filled 
lesions that are painful and 
usually firm. 
[https://www.hopkinsmedicine.org/health/conditions-and-diseases/folliculitis-boils-and-carbuncles] 

Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="Gynecomastia"/>
    <display value="Gynecomastia"/>
    <definition
                value="Gynecomastia is an enlargement or swelling of breast 
tissue in males. 
It is most commonly caused by male estrogen levels 
that are too high or are out of 
balance with testosterone levels. 
[https://my.clevelandclinic.org/health/diseases/16227-enlarged-male-breast-tissue-gynecomastia] 

Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="Hamartoma"/>
    <display value="Hamartoma"/>
    <definition
                value="A benign (not cancer) growth made up of an abnormal 
mixture of cells and tissues 
normally found in the area of the body where the 
growth occurs. 
[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/hamartoma] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="Hematoma"/>
    <display value="Hematoma"/>
    <definition
                value="A breast hematoma is a collection of blood that forms 
under the skin&#39;s surface. 
It&#39;s not unlike having a large bruise in your breast. 
The mass it forms is not cancerous, but it can sometimes 
lead to inflammation, fever, 
skin discoloration, and may leave behind scar tissue 
that mimics the shape of a breast 
tumor. 
[https://www.verywellhealth.com/breast-hematomas-430281] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="HormonalStimulation"/>
    <display value="Hormonal stimulation"/>
    <definition
                value="Hormonal effects of certain medications including 
antihypertensives, antidepressants, 
H2 blockers, 
illicit drugs, and endocrine active tumors stimulate 
development of rudimentary breast 
tissue. 
[Breast Imaging Reporting and Data System—Mammography, Fifth Edition] 

Valid for the following modalities: US."/>
  </concept>
  <concept>
    <code value="IntracysticLesion"/>
    <display value="Intracystic lesion"/>
    <definition
                value="Intracystic tumors of the breast are uncommon and, 
at the time of ultrasonography 
and aspiration cytology, it is difficult to distinguish 
cancer from a benign tumor. 
[https://www.ncbi.nlm.nih.gov/pubmed/11911303] 

Valid for the following modalities: US NM."/>
  </concept>
  <concept>
    <code value="IntramammaryNode"/>
    <display value="Intramammary node"/>
    <definition
                value="These are lymph  nodes within the breast tissue. 
They are generally 1 cm or smaller 
in size. 
They frequently occur in the lateral and usually 
upper portions of the breast closer 
to the 
axilla (armpit area), although they may occur anywhere 
in the breast. 
They usually are seen adjacent to a vein, because 
the lymphatic drainage of the breast 
parallels the venous drainage. 
[Breast Imaging Reporting and Data System—Mammography, Fifth Edition] 

Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="Lipoma"/>
    <display value="Lipoma"/>
    <definition
                value="A lipoma is a slow-growing, fatty lump that&#39;s most 
often situated between the skin 
and the underlying muscle layer. 
A lipoma, which feels doughy and usually isn&#39;t tender, 
moves readily with slight 
finger pressure. 
Lipomas are usually detected in middle age. 
Some people have more than one lipoma.A lipoma isn&#39;t 
cancer and usually is harmless. 
www.mayoclinic.org &gt; lipoma &gt; symptoms-causes &gt; syc-20374470 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="LumpectomyCavity"/>
    <display value="Lumpectomy cavity"/>
    <definition
                value="With a lumpectomy, the surgeon removes only the tumor 
and a small amount of normal 
surrounding tissue. 
The cavity is the hollow area or hole left behind 
after the tumor and surrounding 
tissue is removed. 


Valid for the following modalities: US MRI."/>
  </concept>
  <concept>
    <code value="LumpectomySite"/>
    <display value="Lumpectomy site"/>
    <definition
                value="The area of the breast where the incision is made 
during the lumpectomy. 


Valid for the following modalities: MRI."/>
  </concept>
  <concept>
    <code value="LymphNode"/>
    <display value="Lymph node"/>
    <definition
                value="A small bean-shaped structure that is part of the 
body&#39;s immune system. 
Lymph nodes filter substances that travel through 
the lymphatic fluid, and they contain 
lymphocytes (white blood cells) that help the body 
fight infection and disease. 
There are hundreds of lymph nodes found throughout 
the body. 
They are connected to one another by lymph vessels. 
Clusters of lymph nodes are found in the neck, axilla 
(underarm), chest, abdomen, 
and groin. 
For example, there are about 20-40 lymph nodes in 
the axilla. 
Also called lymph gland. 
[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/lymph-node] 

Valid for the following modalities: MG US MRI NM."/>
  </concept>
  <concept>
    <code value="LymphNodeEnlarged"/>
    <display value="Lymph node enlarged"/>
    <definition
                value="Enlarged or swollen lymph nodes usually indicate 
a common infection, but can 
also signal a medical condition, such as an immune 
disorder or, rarely, a type of 
cancer. 
Lymph nodes are small, round structures that play 
a vital role in the body&#39;s immune 
system. 
Swollen lymph nodes are also known as swollen glands. 


Valid for the following modalities: US MRI."/>
  </concept>
  <concept>
    <code value="LymphNodeNormal"/>
    <display value="Lymph node normal"/>
    <definition
                value="Lymph nodes filter substances that travel through 
the lymphatic fluid, and they contain 
lymphocytes (white blood cells) that help the body 
fight infection and disease. 
There are hundreds of lymph nodes found throughout 
the body. 
The lymph nodes are connected to one another by 
lymph vessels. 
Clusters of lymph nodes are found in the neck, axilla 
(underarm), chest, abdomen, 
and groin. 
A normal sized lymph node is about pea-sized or bean-sized 
(or smaller than 1/2 inch 
or 12mm). 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="LymphNodePathological"/>
    <display value="Lymph node pathological"/>
    <definition
                value="Lymphadenopathy (or adenopathy) is, if anything, 
a broader term, referring to any 
pathology of lymph nodes, not necessarily resulting 
in increased size; this includes 
abnormal number of nodes, or derangement of internal 
architecture (e.g. 
cystic or necrotic nodes). 
[https://radiopaedia.org/articles/lymph-node-enlargement?lang=us] 

Valid for the following modalities: MRI."/>
  </concept>
  <concept>
    <code value="MassSolid"/>
    <display value="Mass solid"/>
    <definition
                value="An abnormal mass of tissue that usually does not 
contain cysts or liquid areas. 
Solid masses or tumors may be benign (not cancer), 
or malignant (cancer). 
Different types of solid mass/ tumors are named for 
the type of cells that form them. 
Examples of solid tumors are sarcomas, carcinomas, 
and lymphomas. 
Leukemias (cancer of the blood) generally do not 
form solid mass/tumors. 
[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/solid-tumor] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="MassSolidW/tumorVasc"/>
    <display value="Mass solid w/tumor vasc"/>
    <definition
                value="An abnormal mass of tissue that usually does not 
contain cysts or liquid areas. 
Solid masses or tumors may be benign (not cancer), 
or malignant (cancer). 
Different types of solid mass/ tumors are named for 
the type of cells that form them. 
Examples of solid tumors are sarcomas, carcinomas, 
and lymphomas. 
Leukemias (cancer of the blood) generally do not 
form solid mass/tumors. 
A vascular tumor is a type of tumor that forms from 
cells that make blood vessels 
or lymph vessels. 
Vascular tumors may be benign (not cancer) or malignant 
(cancer) and can occur anywhere 
in the body. 
They may form on the skin, in the tissues below the 
skin, and/or in an organ. 
There are many types of vascular tumors. 
[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/solid-tumor ] 

https://www.cancer.gov/publications/dictionaries/cancer-terms/def/vascular-tumor 


Valid for the following modalities: MRI."/>
  </concept>
  <concept>
    <code value="Mastitis"/>
    <display value="Mastitis"/>
    <definition
                value="Infection of the breast tissue resulting in pain, 
swelling, warmth and redness. 


Valid for the following modalities: MG US MRI."/>
  </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: MG."/>
  </concept>
  <concept>
    <code value="Multi-focalCancer"/>
    <display value="Multi-focal cancer"/>
    <definition
                value="Multifocal breast cancer occurs when there are two 
or more tumors in the same breast. 
All of the tumors begin in one original tumor. 
The tumors are also all in the same quadrant - or 
section - of the breast. 
[https://www.healthline.com/health/breast-cancer/multifocal-breast-cancer] 

Valid for the following modalities: NM."/>
  </concept>
  <concept>
    <code value="PapillaryLesion"/>
    <display value="Papillary lesion"/>
    <definition
                value="Breast papillary lesions are characterised by growth 
inside the milk ducts, and they 
represent a heterogeneous pathology. 
They are rare and constitute less than 10% of benign 
breast lesions and less than 
1% of malignant breast neoplasms. 
Breast papillary lesions are usually detected by 
imaging or clinically by the presence 
of a palpable breast mass or unilateral spontaneous 
nipple discharge. 
[https://ecancer.org/es/journal/article/461-breast-papillary-lesions-an-analysis-of-70-cases] 

Valid for the following modalities: MG US."/>
  </concept>
  <concept>
    <code value="Papilloma"/>
    <display value="Papilloma"/>
    <definition
                value="Intraductal papillomas are benign (non-cancerous), 
wart-like tumors that grow within 
the milk ducts of the breast. 
They are made up of gland tissue along with fibrous 
tissue and blood vessels (called 
fibrovascular tissue). 
[https://www.cancer.org/cancer/breast-cancer/non-cancerous-breast-conditions/intraductal-papillomas.html] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="PhyllodesTumor"/>
    <display value="Phyllodes tumor"/>
    <definition
                value="Phyllodes tumors of the breast are rare, accounting 
for less than 1% of all breast 
tumors. 
The name &quot;phyllodes,&quot; which is taken from the Greek 
language and means &quot;leaflike,&quot; refers 
to that fact that the tumor cells grow in a leaflike 
pattern. 
Other names for these tumors are phylloides tumor 
and cystosarcoma phyllodes. 
Phyllodes tumors tend to grow quickly, but they rarely 
spread outside the breast. 
Although most phyllodes tumors are benign (not cancerous), 
some are malignant (cancerous) 
and some are borderline (in between noncancerous 
and cancerous). 
All three kinds of phyllodes tumors tend to grow 
quickly, and they require surgery 
to reduce the risk of a phyllodes tumor coming back 
in the breast (local recurrence). 
[https://www.breastcancer.org/symptoms/types/phyllodes] 

Valid for the following modalities: US MRI."/>
  </concept>
  <concept>
    <code value="PostLumpectomyScar"/>
    <display value="Post lumpectomy scar"/>
    <definition
                value="This is scarring that occurs from the lumpectomy 
site. 
It can include nerve pain or numbness if scar tissue 
forms around nerves. 
A lump of scar tissue forms in the hole left after 
breast tissue is removed. 
If scar tissue forms around a stitch from surgery 
it&#39;s called a suture granuloma 
and also feels like a lump. 
Changes in breast appearance. 
Scar tissue and fluid retention can make breast tissue 
appear a little firmer or 
rounder than before surgery and/or radiation. 
[https://www.breastcancer.org/treatment/side_effects/scar_tissue] 

Valid for the following modalities: MG."/>
  </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 NM."/>
  </concept>
  <concept>
    <code value="PreviousBiopsy"/>
    <display value="Previous biopsy"/>
    <definition
                value="Findings on mammogram are  consistent with previous 
biopsy. 


Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="PreviousSurgery"/>
    <display value="Previous surgery"/>
    <definition
                value="Findings on mammogram are consistent with previous 
surgery. 


Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="PreviousTrauma"/>
    <display value="Previous trauma"/>
    <definition
                value="Findings on mammogram are consistent with previous 
trauma to breast. 


Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="RadialScar"/>
    <display value="Radial scar"/>
    <definition
                value="Radial scar is a growth that looks like a scar when 
the tissue is viewed under a 
microscope. 
It has a central core containing benign ducts. 
Growing out of this core are ducts and lobules that 
show evidence of unusual changes 
such as cysts and epithelial hyperplasia (overgrowth 
of their inner lining). 
Often, more than one radial scar is present. 
Another term for this condition is complex sclerosing 
lesions. 
[https://www.breastcancer.org/symptoms/benign/radial-scars] 

Valid for the following modalities: MG US."/>
  </concept>
  <concept>
    <code value="RadiationChanges"/>
    <display value="Radiation changes"/>
    <definition
                value="Radiation levels during radiation therapy may change 
as a result of side effects 
or to complete a more aggressive cancer treatment. 


Valid for the following modalities: MRI."/>
  </concept>
  <concept>
    <code value="RadiationTherapy"/>
    <display value="Radiation therapy"/>
    <definition
                value="The use of high-energy radiation from x-rays, gamma 
rays, neutrons, protons, and 
other sources to kill cancer cells and shrink tumors. 
Radiation may come from a machine outside the body 
(external-beam radiation therapy), 
or it may come from radioactive material placed in 
the body near cancer cells (internal 
radiation therapy or brachytherapy). 
Systemic radiation therapy uses a radioactive substance, 
such as a radiolabeled monoclonal 
antibody, that travels in the blood to tissues throughout 
the body. 
Also called irradiation and radiotherapy. 
[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/44971] 

Valid for the following modalities: MRI."/>
  </concept>
  <concept>
    <code value="Scar"/>
    <display value="Scar"/>
    <definition
                value="Scar tissue forms as part of the healing process 
after a skin injury. 
A scar is fibrous tissue made of collagen that replaces 
the injured skin. 
[https://www.breastcancer.org/treatment/side_effects/scar_tissue] 

Valid for the following modalities: US MRI."/>
  </concept>
  <concept>
    <code value="ScarWithShadowing"/>
    <display value="Scar with shadowing"/>
    <definition
                value="In cases when the appropriate history is not available, 
a postsurgical scar may mimic 
a malignancy. 
At sonographic evaluation, an area of posterior acoustic 
shadowing may be seen. 
This lack of a central mass helps differentiate 
a scar from a carcinoma, which has 
shadowing arising from a central mass. 
onlinelibrary.wiley.com &gt; doi &gt; full &gt; jum.2004.23.1.73 


Valid for the following modalities: US MRI."/>
  </concept>
  <concept>
    <code value="SclerosingAdenosis"/>
    <display value="Sclerosing adenosis"/>
    <definition
                value="Sclerosing adenosis is a type of adenosis in which 
enlarged acini become slightly 
distorted by surrounded stromal fibrosis (&quot;sclerosis&quot;). 
The normal lobular architecture of the breast is 
maintained, but becomes exaggerated 
and distorted. 


Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="SecretoryCalcification"/>
    <display value="Secretory calcification"/>
    <definition
                value="Secretory calcifications are benign calcifications 
usually in women older than 60. 
They classically appear as solid or discontinuous, 
smooth, linear and rod-like calcifications. 
Usually bilateral and symmetric and may appear lucent-centered. 
Also known as plasma cell mastitis. 
[https://radiopaedia.org/cases/secretory-calcifications?lang=us] 

Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="SentinelNode"/>
    <display value="Sentinel node"/>
    <definition
                value="The sentinel nodes are the first few lymph nodes 
into which a tumor drains. 
Sentinel node biopsy involves injecting a tracer 
material that helps the surgeon 
locate the sentinel nodes during surgery. 
The sentinel nodes are removed and analyzed in a 
laboratory. 
[https://www.mayoclinic.org/tests-procedures/sentinel-node-biopsy/about/pac-20385264] 

Valid for the following modalities: NM."/>
  </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 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. 
Primary skin lesions are abnormal skin conditions 
present at birth or acquired over 
a person&#39;s lifetime. 
Secondary skin lesions are the result of irritated 
or manipulated primary skin lesions. 
[https://www.healthline.com/health/skin-lesions] 

Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="Surgery"/>
    <display value="Surgery"/>
    <definition
                value="The branch of medicine that employs operations in 
the treatment of disease or injury. 
Surgery can involve cutting, abrading, suturing, 
or otherwise physically changing 
body tissues and organs. 
[https://www.medicinenet.com/script/main/art.asp?articlekey=5603] 

Valid for the following modalities: MRI."/>
  </concept>
  <concept>
    <code value="Trauma"/>
    <display value="Trauma"/>
    <definition
                value="Previous injury to breast consistent with surgery, 
infection, etc. 


Valid for the following modalities: MRI."/>
  </concept>
  <concept>
    <code value="VascularCalcifications"/>
    <display value="Vascular calcifications"/>
    <definition
                value="Parallel tracks, or linear tubular calcifications 
that are clearly associated with 
blood vessels. 
While most vascular calcification is not difficult 
to identify, if only a few discontinuous 
calcific 
particles are visible in a single location and if 
association with a tubular structure 
is questionable, 
then additional spot-compression magnification views 
may be needed to further characterize 
their nature. 
[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 38] 

Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="VenousStasis"/>
    <display value="Venous stasis"/>
    <definition
                value="Venous stasis dermatitis happens when there&#39;s a problem 
with the veins, that keeps 
blood from moving through very well. 
As more fluid and pressure build, some of the blood 
leaks out of the veins and into 
the skin. 
[https://www.webmd.com/skin-problems-and-treatments/eczema/venous-stasis-dermatitis#1] 

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