Imaging findings in patients referred with the complaint of mastalgia and a normal breast examination

Shirley Sadler, Meera Chhagan

Abstract


1: Demographic details

Name, administrative numbers, birthdate, race group, referral district

2. Clinical history:

Presenting symptoms; physical examination findings; family history of breast cancer; breastfeeding history; number of pregnancies; hormonal treatment; injury to breast; co-morbid illnesses; current medications.

3. Imaging findings:

Relevant findings on mammography and ultrasound examination of the breasts. BIRADS classification of the findings.

4. Follow up:

Record of any procedure or follow up imaging studies that were  performed, and the results thereof.