Breast Imaging Reporting - 2nd STU ballot
0.3.0 - CI Build
Breast Imaging Reporting - 2nd STU ballot
0.3.0 - CI Build
Breast Imaging Reporting - 2nd STU ballot, published by HL7 International - Clinical Interoperability Council. This is not an authorized publication; it is the continuous build for version 0.3.0). This version is based on the current content of https://github.com/HL7/fhir-breast-radiology-ig/ and changes regularly. See the Directory of published versions
| Active as of 2022-12-07 |
{
"resourceType" : "CodeSystem",
"id" : "RadLexCDE",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE</code> defines the following codes:</p><table class=\"codes\"><tr><td><b>Lvl</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDES241<a name=\"RadLexCDE-RDES241\"> </a></td><td>Breast Calcification</td><td>Breast Calcification</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDES243<a name=\"RadLexCDE-RDES243\"> </a></td><td>Breast Cyst</td><td>Breast Cyst</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDES245<a name=\"RadLexCDE-RDES245\"> </a></td><td>BI-RADS</td><td>Breast Mass Detection on Mammography</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDES246<a name=\"RadLexCDE-RDES246\"> </a></td><td>Breast Mass</td><td>Breast Mass</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1556<a name=\"RadLexCDE-RDE1556\"> </a></td><td>Presence</td><td>Abnormalcalcificationobservation</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1556_present<a name=\"RadLexCDE-RDE1556_present\"> </a></td><td>present</td><td>RDE1556_present</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1556_absent<a name=\"RadLexCDE-RDE1556_absent\"> </a></td><td>absent</td><td>RDE1556_absent</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1556_indeterminate<a name=\"RadLexCDE-RDE1556_indeterminate\"> </a></td><td>indeterminate</td><td>RDE1556_indeterminate</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1556_unknown<a name=\"RadLexCDE-RDE1556_unknown\"> </a></td><td>unknown</td><td>RDE1556_unknown</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1557<a name=\"RadLexCDE-RDE1557\"> </a></td><td>Side</td><td>Breastlateralityofabnormalityobserved</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1557_right<a name=\"RadLexCDE-RDE1557_right\"> </a></td><td>right</td><td>RDE1557_right</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1557_left<a name=\"RadLexCDE-RDE1557_left\"> </a></td><td>left</td><td>RDE1557_left</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1557_bilateral<a name=\"RadLexCDE-RDE1557_bilateral\"> </a></td><td>bilateral</td><td>RDE1557_bilateral</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1558<a name=\"RadLexCDE-RDE1558\"> </a></td><td>Location</td><td>Clockpositionsoftheabnormalityobserved</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1558_oneOclockPosition<a name=\"RadLexCDE-RDE1558_oneOclockPosition\"> </a></td><td>oneo'clockposition</td><td>RDE1558_one o'clock position</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1558_twoOclockPosition<a name=\"RadLexCDE-RDE1558_twoOclockPosition\"> </a></td><td>twoo'clockposition</td><td>RDE1558_two o'clock position</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1558_threeOclockPosition<a name=\"RadLexCDE-RDE1558_threeOclockPosition\"> </a></td><td>threeo'clockposition</td><td>RDE1558_three o'clock position</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1558_fourOclockPosition<a name=\"RadLexCDE-RDE1558_fourOclockPosition\"> </a></td><td>fouro'clockposition</td><td>RDE1558_four o'clock position</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1558_fiveOclockPosition<a name=\"RadLexCDE-RDE1558_fiveOclockPosition\"> </a></td><td>fiveo'clockposition</td><td>RDE1558_five o'clock position</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1558_sixOclockPosition<a name=\"RadLexCDE-RDE1558_sixOclockPosition\"> </a></td><td>sixo'clockposition</td><td>RDE1558_six o'clock position</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1558_sevenOclockPosition<a name=\"RadLexCDE-RDE1558_sevenOclockPosition\"> </a></td><td>seveno'clockposition</td><td>RDE1558_seven o'clock position</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1558_eightOclockPosition<a name=\"RadLexCDE-RDE1558_eightOclockPosition\"> </a></td><td>eighto'clockposition</td><td>RDE1558_eight o'clock position</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1558_nineOclockPosition<a name=\"RadLexCDE-RDE1558_nineOclockPosition\"> </a></td><td>nineo'clockposition</td><td>RDE1558_nine o'clock position</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1558_tenOclockPosition<a name=\"RadLexCDE-RDE1558_tenOclockPosition\"> </a></td><td>teno'clockposition</td><td>RDE1558_ten o'clock position</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1558_elevenOclockPosition<a name=\"RadLexCDE-RDE1558_elevenOclockPosition\"> </a></td><td>eleveno'clockposition</td><td>RDE1558_eleven o'clock position</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1558_twelveOclockPosition<a name=\"RadLexCDE-RDE1558_twelveOclockPosition\"> </a></td><td>twelveo'clockposition</td><td>RDE1558_twelve o'clock position</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1559<a name=\"RadLexCDE-RDE1559\"> </a></td><td>Depth</td><td>AnteriordepthistheoutermostdepthclosesttothenippleofthebreastMiddledepthinbetweentheanteriorandposteriorportionofthebreastPosteriordepthclosesttothechestwallofthebreast</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1559_anterior<a name=\"RadLexCDE-RDE1559_anterior\"> </a></td><td>anterior</td><td>RDE1559_anterior</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1559_middle<a name=\"RadLexCDE-RDE1559_middle\"> </a></td><td>middle</td><td>RDE1559_middle</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1559_posterior<a name=\"RadLexCDE-RDE1559_posterior\"> </a></td><td>posterior</td><td>RDE1559_posterior</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1560<a name=\"RadLexCDE-RDE1560\"> </a></td><td>Breast body landmark</td><td>Breastlandmarkvalueset</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1560_nipple<a name=\"RadLexCDE-RDE1560_nipple\"> </a></td><td>nipple</td><td>RDE1560_nipple</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1560_chestWall<a name=\"RadLexCDE-RDE1560_chestWall\"> </a></td><td>chestwall</td><td>RDE1560_chest wall</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1560_skinStructure<a name=\"RadLexCDE-RDE1560_skinStructure\"> </a></td><td>skinstructure</td><td>RDE1560_skin structure</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1561<a name=\"RadLexCDE-RDE1561\"> </a></td><td>Distance from landmark</td><td>Distancefrombodylandmarktobodylocationofabnormality</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1562<a name=\"RadLexCDE-RDE1562\"> </a></td><td>Laterality from landmark</td><td>RDE1562</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1562_rightAndLeft<a name=\"RadLexCDE-RDE1562_rightAndLeft\"> </a></td><td>rightandleft</td><td>RDE1562_right and left</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1562_midline<a name=\"RadLexCDE-RDE1562_midline\"> </a></td><td>midline</td><td>RDE1562_midline</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1562_structureOfRightHalfOfBody<a name=\"RadLexCDE-RDE1562_structureOfRightHalfOfBody\"> </a></td><td>structureofrighthalfofbody</td><td>RDE1562_structure of right half of body</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1562_structureOfLeftHalfOfBody<a name=\"RadLexCDE-RDE1562_structureOfLeftHalfOfBody\"> </a></td><td>structureoflefthalfofbody</td><td>RDE1562_structure of left half of body</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1563<a name=\"RadLexCDE-RDE1563\"> </a></td><td>Quadrant</td><td>Quadrant of breast</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1563_lowerInner<a name=\"RadLexCDE-RDE1563_lowerInner\"> </a></td><td>lowerinner</td><td>RDE1563_lower inner</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1563_lowerOuter<a name=\"RadLexCDE-RDE1563_lowerOuter\"> </a></td><td>lowerouter</td><td>RDE1563_lower outer</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1563_upperInner<a name=\"RadLexCDE-RDE1563_upperInner\"> </a></td><td>upperinner</td><td>RDE1563_upper inner</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1563_upperOuter<a name=\"RadLexCDE-RDE1563_upperOuter\"> </a></td><td>upperouter</td><td>RDE1563_upper outer</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1564<a name=\"RadLexCDE-RDE1564\"> </a></td><td>Region</td><td>Region of breast</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1564_axilla<a name=\"RadLexCDE-RDE1564_axilla\"> </a></td><td>axilla</td><td>The axilla (also, armpit, underarm or oxter) is the area on the\nhuman body directly under the joint where the arm connects to\nthe shoulder. It also contains many sweat glands.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1564_axillaryTail<a name=\"RadLexCDE-RDE1564_axillaryTail\"> </a></td><td>axillarytail</td><td>RDE1564_axillary tail</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1564_axillaOne<a name=\"RadLexCDE-RDE1564_axillaOne\"> </a></td><td>axillaone</td><td>There are three levels of axillary lymph nodes (the nodes in the\nunderarm or 'axilla' area): Level I is the bottom level, below\nthe lower edge of the pectoralis minor muscle.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1564_axillaTwo<a name=\"RadLexCDE-RDE1564_axillaTwo\"> </a></td><td>axillatwo</td><td>There are three levels of axillary lymph nodes (the nodes in the\nunderarm or 'axilla' area):Level II is lying underneath the pectoralis\nminor muscle.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1564_axillaThree<a name=\"RadLexCDE-RDE1564_axillaThree\"> </a></td><td>axillathree</td><td>There are three levels of axillary lymph nodes (the nodes in the\nunderarm or 'axilla' area): Level III is above the pectoralis\nminor muscle.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1564_inframammaryFold<a name=\"RadLexCDE-RDE1564_inframammaryFold\"> </a></td><td>inframammaryfold</td><td>The mass/lesion is located in the inframammary crease where the\nlower boundary of the breast and the chest meet.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1564_inSkin<a name=\"RadLexCDE-RDE1564_inSkin\"> </a></td><td>inskin</td><td>Located within skin.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1564_centralToNipple<a name=\"RadLexCDE-RDE1564_centralToNipple\"> </a></td><td>centraltonipple</td><td>Central to the nipple (central portion of the breast-behind the\nnipple).</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1565<a name=\"RadLexCDE-RDE1565\"> </a></td><td>Type</td><td>RDE1565</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_amorphous<a name=\"RadLexCDE-RDE1565_amorphous\"> </a></td><td>amorphous</td><td>RDE1565_amorphous</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_coarse<a name=\"RadLexCDE-RDE1565_coarse\"> </a></td><td>coarse</td><td>RDE1565_coarse</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_dystrophic<a name=\"RadLexCDE-RDE1565_dystrophic\"> </a></td><td>dystrophic</td><td>RDE1565_dystrophic</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_eggshell<a name=\"RadLexCDE-RDE1565_eggshell\"> </a></td><td>eggshell</td><td>RDE1565_eggshell</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_fine<a name=\"RadLexCDE-RDE1565_fine\"> </a></td><td>fine</td><td>RDE1565_fine</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_generic<a name=\"RadLexCDE-RDE1565_generic\"> </a></td><td>generic</td><td>RDE1565_generic</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_coarseHeterogeneous<a name=\"RadLexCDE-RDE1565_coarseHeterogeneous\"> </a></td><td>coarseheterogeneous</td><td>RDE1565_coarse heterogeneous</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_indistinct<a name=\"RadLexCDE-RDE1565_indistinct\"> </a></td><td>indistinct</td><td>RDE1565_indistinct</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_largeRoadlike<a name=\"RadLexCDE-RDE1565_largeRoadlike\"> </a></td><td>largeroadlike</td><td>RDE1565_large roadlike</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_layering<a name=\"RadLexCDE-RDE1565_layering\"> </a></td><td>layering</td><td>RDE1565_layering</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_fineLinear<a name=\"RadLexCDE-RDE1565_fineLinear\"> </a></td><td>finelinear</td><td>RDE1565_fine linear</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_lucentCentered<a name=\"RadLexCDE-RDE1565_lucentCentered\"> </a></td><td>lucentcentered</td><td>RDE1565_lucent centered</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_milkOfCalcium<a name=\"RadLexCDE-RDE1565_milkOfCalcium\"> </a></td><td>milkofcalcium</td><td>RDE1565_milk of calcium</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_finePleomorphic<a name=\"RadLexCDE-RDE1565_finePleomorphic\"> </a></td><td>finepleomorphic</td><td>RDE1565_fine pleomorphic</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_punctate<a name=\"RadLexCDE-RDE1565_punctate\"> </a></td><td>punctate</td><td>RDE1565_punctate</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_rim<a name=\"RadLexCDE-RDE1565_rim\"> </a></td><td>rim</td><td>RDE1565_rim</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_round<a name=\"RadLexCDE-RDE1565_round\"> </a></td><td>round</td><td>RDE1565_round</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_skin<a name=\"RadLexCDE-RDE1565_skin\"> </a></td><td>skin</td><td>RDE1565_skin</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_spherical<a name=\"RadLexCDE-RDE1565_spherical\"> </a></td><td>spherical</td><td>RDE1565_spherical</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_sature<a name=\"RadLexCDE-RDE1565_sature\"> </a></td><td>sature</td><td>RDE1565_sature</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1565_vascular<a name=\"RadLexCDE-RDE1565_vascular\"> </a></td><td>vascular</td><td>RDE1565_vascular</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1567<a name=\"RadLexCDE-RDE1567\"> </a></td><td>Count</td><td>RDE1567</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1568<a name=\"RadLexCDE-RDE1568\"> </a></td><td>Distribution</td><td>RDE1568</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1568_fineLinearBranching<a name=\"RadLexCDE-RDE1568_fineLinearBranching\"> </a></td><td>finelinearbranching</td><td>RDE1568_fine, linear, branching</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1568_clustered<a name=\"RadLexCDE-RDE1568_clustered\"> </a></td><td>clustered</td><td>RDE1568_clustered</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1568_diffuse<a name=\"RadLexCDE-RDE1568_diffuse\"> </a></td><td>diffuse</td><td>RDE1568_diffuse</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1568_grouped<a name=\"RadLexCDE-RDE1568_grouped\"> </a></td><td>grouped</td><td>RDE1568_grouped</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1568_linear<a name=\"RadLexCDE-RDE1568_linear\"> </a></td><td>linear</td><td>RDE1568_linear</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1568_regional<a name=\"RadLexCDE-RDE1568_regional\"> </a></td><td>regional</td><td>RDE1568_regional</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1568_segmental<a name=\"RadLexCDE-RDE1568_segmental\"> </a></td><td>segmental</td><td>RDE1568_segmental</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1569<a name=\"RadLexCDE-RDE1569\"> </a></td><td>Distribution width</td><td>Sizeoftheentireregionaffectedbyabnormalityinmm</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1570<a name=\"RadLexCDE-RDE1570\"> </a></td><td>Size</td><td>Sizeofasinglefindingobservedinmm</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1571<a name=\"RadLexCDE-RDE1571\"> </a></td><td>Associated features</td><td>RDE1571</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_architecturalDistortion<a name=\"RadLexCDE-RDE1571_architecturalDistortion\"> </a></td><td>architecturaldistortion</td><td>f the mass blurs a tissue plane between fat and fibroglandular\ntissue or if the mass produces distortion of the ducts, these\nfindings may be termed architectural distortion.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_axillaryAdenopathy<a name=\"RadLexCDE-RDE1571_axillaryAdenopathy\"> </a></td><td>axillaryadenopathy</td><td>Enlarged axillary (under the armpit) lymph nodes. Additional evaluation\nis needed to determine the cause.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_biopsyClip<a name=\"RadLexCDE-RDE1571_biopsyClip\"> </a></td><td>biopsyclip</td><td>Tissue marker placement after image-guided breast biopsy has become\na routine component of clinical practice. Marker placement distinguishes\nmultiple biopsied lesions within the same breast, prevents re-biopsy\nof benign lesions, enables multi-modality correlation, guides\npre-operative localization and helps confirm surgical target removal.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_brachytherapyTube<a name=\"RadLexCDE-RDE1571_brachytherapyTube\"> </a></td><td>brachytherapytube</td><td>Brachytherapy may be temporary or permanent. Temporary brachytherapy\nplaces radioactive material inside a catheter for a specific amount\nof time and then it is removed. It is given at a low-dose rate\n(LDR) or high-dose rate (HDR). Permanent brachytherapy is also\ncalled seed implantation. It puts radioactive seeds (about the\nsize of a grain of rice) in or near the tumor permanently. After\nseveral months, the seeds lose their radioactivity.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_chestWallInvasion<a name=\"RadLexCDE-RDE1571_chestWallInvasion\"> </a></td><td>chestwallinvasion</td><td>A tumor of the lung that has invaded the chest wall.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_cooperDistorted<a name=\"RadLexCDE-RDE1571_cooperDistorted\"> </a></td><td>cooperdistorted</td><td>Cooper's ligaments support the breasts on the chest wall, maintain\ntheir contour, and keep them in position. Breasts become distorted\nif cancerous tumors grow on the ligaments.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_cooperThickened<a name=\"RadLexCDE-RDE1571_cooperThickened\"> </a></td><td>cooperthickened</td><td>Cooper's ligaments support the breasts on the chest wall, maintain\ntheir contour, and keep them in position. These support breast\ntissue; and can become contracted in cancer of breast, producing\ndimples in overlying skin. Thickening occurs when there are skin\nchanges usually associated with the presence of a mass, benign\nor malignant, that causes shortening in the Coopers ligaments\ndue to fibrosis.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_edema<a name=\"RadLexCDE-RDE1571_edema\"> </a></td><td>edema</td><td>Edema (swelling of the breasts) may be due to blockage of subdermal\nlymphatics by tumor cells or an inflammatory process within the\nbreast or axilla.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_edemaAdj<a name=\"RadLexCDE-RDE1571_edemaAdj\"> </a></td><td>edemaadj</td><td>This is swelling of one or both breasts. A mammographic pattern\nof skin thickening, increased parenchymal density, and interstitial\nmarking.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_goldSeed<a name=\"RadLexCDE-RDE1571_goldSeed\"> </a></td><td>goldseed</td><td>Tiny, gold seeds, about the size of a grain of rice, that are\nput in and/or around a tumor to show exactly where it is in the\nbody. The tumor can then be directly targeted and be given higher\ndoses of radiation with less harm to nearby healthy tissue. Also\ncalled gold fiducial marker seeds, gold fiducial markers, and\ngold-seed fiducial markers.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_hematoma<a name=\"RadLexCDE-RDE1571_hematoma\"> </a></td><td>hematoma</td><td>A hematoma is a localized bleeding outside of blood vessels, due\nto either disease or trauma including injury or surgery and may\ninvolve blood continuing to seep from broken capillaries.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_nippleRetraction<a name=\"RadLexCDE-RDE1571_nippleRetraction\"> </a></td><td>nippleretraction</td><td>Retracted nipples lie flat against the areola. The condition can\nbe the result of inflammation or scarring of the tissue behind\nthe nipple, and caused by numerous conditions, not just cancer.\nIn the case of breast cancer, nipple retraction occurs when the\ntumor attacks the duct behind the nipple, pulling it in.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_noChestWallInvasion<a name=\"RadLexCDE-RDE1571_noChestWallInvasion\"> </a></td><td>nochestwallinvasion</td><td>The mass has not attached itself to the chest wall.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_pectoralisMuscleInvasion<a name=\"RadLexCDE-RDE1571_pectoralisMuscleInvasion\"> </a></td><td>pectoralismuscleinvasion</td><td>Pectoralis muscle invasion is when a tumor has become large enough\nto invade into the pectoralis muscle.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_pectoralisMuscleInvolvement<a name=\"RadLexCDE-RDE1571_pectoralisMuscleInvolvement\"> </a></td><td>pectoralismuscleinvolvement</td><td>Pectoralis muscle involvement of the tumor has been detected on\nthe MRI by muscle enhancement with obliteration of the fat plane\nbetween the tumor and the muscle.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_pectoralisMuscleTenting<a name=\"RadLexCDE-RDE1571_pectoralisMuscleTenting\"> </a></td><td>pectoralismuscletenting</td><td>The tent sign is a term referring to a characteristic appearance\nof the posterior edge of the breast parenchyma when a mass (usually\nan infiltrating lesion) causes its retraction and forms an inverted\n'V' that resembles the tip of a circus tent.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_postSurgicalScar<a name=\"RadLexCDE-RDE1571_postSurgicalScar\"> </a></td><td>postsurgicalscar</td><td>Post surgical scarring happens because of the incisions needed\nto surgically remove tumor, cells, etc. The amount of scarring\nis connected to the different stages of wound healing. Surgical\nscar care should be continued for a year.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_seroma<a name=\"RadLexCDE-RDE1571_seroma\"> </a></td><td>seroma</td><td>A breast seroma is a collection (pocket) of serous fluid that\ncan develop after trauma to the breast or following procedures\nsuch as breast surgery or radiation therapy. Serous fluid is a\npale yellow, transparent fluid that contains protein, but no blood\ncells or pus.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_skinInvolvement<a name=\"RadLexCDE-RDE1571_skinInvolvement\"> </a></td><td>skininvolvement</td><td>The mass or lesion has attached itself to the skin of the breast.\nThere are several layers of skin that the mass or lesion can penetrate\nand that is what determines the level of skin invasion.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_skinLesion<a name=\"RadLexCDE-RDE1571_skinLesion\"> </a></td><td>skinlesion</td><td>A skin lesion is a part of the skin that has an abnormal growth\nor appearance compared to the skin around it.In order to diagnose\na skin lesion, a full physical exam is necessary.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_skinRetraction<a name=\"RadLexCDE-RDE1571_skinRetraction\"> </a></td><td>skinretraction</td><td>Skin retraction (or inversion) or Skin retraction. Breast cancers\nthat are located near the skin or nipple may cause scarring within\nthe breast that pulls at the nipple or nearby skin. Skin and nipple\nretraction are more obvious when a woman raises her arms above\nher head or leans forward.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_skinThickening<a name=\"RadLexCDE-RDE1571_skinThickening\"> </a></td><td>skinthickening</td><td>The presence of skin thickening on mammography is variably defined,\nusually being more than 2 mm in thickness. It can result from\na number of both benign and malignant causes.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_surgicalClip<a name=\"RadLexCDE-RDE1571_surgicalClip\"> </a></td><td>surgicalclip</td><td>Most surgical clips are currently made of titanium, and as many\nas 30 to 40 clips may be used during a single surgical procedure.\nSurgical clips may remain inside the patient's body after the\nwounds are healed.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_trabecularThickening<a name=\"RadLexCDE-RDE1571_trabecularThickening\"> </a></td><td>trabecularthickening</td><td>Trabecular thickening-thickening of the Cooper's ligaments and\nfibrous stroma-is an imaging finding of breast edema, usually\nsecondary to dilated lymphatics. Skin thickening and trabecular\nthickening often occur together, and they have similar differential\ndiagnoses.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_calcificationInMass<a name=\"RadLexCDE-RDE1571_calcificationInMass\"> </a></td><td>calcificationinmass</td><td>Calcifications usually can't be felt, but appear on a mammogram.\nDepending on how calcifications are clustered; shape, size, and\nnumber, further tests may be necessary. Larger 'macrocalcifications'\nare usually not associated with cancer.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_calcificationNotOnMammogram<a name=\"RadLexCDE-RDE1571_calcificationNotOnMammogram\"> </a></td><td>calcificationnotonmammogram</td><td>Calcifications usually can't be felt, but appear on a mammogram.\nCalcifications can be clustered and their shape, size, and number.\nLarge 'macrocalcifications' are usually not associated with cancer.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_calcificationOnMammogram<a name=\"RadLexCDE-RDE1571_calcificationOnMammogram\"> </a></td><td>calcificationonmammogram</td><td>Calcifications are small deposits of calcium that show up on mammograms\nas bright white specks or dots on the soft tissue background of\nthe breasts. The calcium readily absorbs the X-rays from mammograms</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_calcifications<a name=\"RadLexCDE-RDE1571_calcifications\"> </a></td><td>calcifications</td><td>Calcifications are small deposits of calcium that show up on mammograms\nas bright white specks or dots on the soft tissue background of\nthe breasts.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_microCalcifications<a name=\"RadLexCDE-RDE1571_microCalcifications\"> </a></td><td>microcalcifications</td><td>Micro-calcifications show up as fine, white specks in a mammogram,\nsimilar to grains of salt; usually noncancerous, but certain patterns\ncan be an early sign of cancer.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_milkOfCalcium<a name=\"RadLexCDE-RDE1571_milkOfCalcium\"> </a></td><td>milkofcalcium</td><td>The term milk of calcium (MOC) is given to dependent, sedimented\ncalcification within a cystic structure or hollow organ. This\nsort of colloidal calcium suspension layering can occur in various\nregions.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1571_rimCalcifications<a name=\"RadLexCDE-RDE1571_rimCalcifications\"> </a></td><td>rimcalcifications</td><td>These are very thin benign calcifications that appear as calcium\nis deposited on the surface of a sphere. Although fat necrosis\ncan produce these thin deposits, calcifications in the wall of\ncysts are the most common 'rim' calcifications.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1576<a name=\"RadLexCDE-RDE1576\"> </a></td><td>Shape</td><td>RDE1576</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1576_irregular<a name=\"RadLexCDE-RDE1576_irregular\"> </a></td><td>irregular</td><td>RDE1576_irregular</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1576_lobular<a name=\"RadLexCDE-RDE1576_lobular\"> </a></td><td>lobular</td><td>RDE1576_lobular</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1576_oval<a name=\"RadLexCDE-RDE1576_oval\"> </a></td><td>oval</td><td>RDE1576_oval</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1576_round<a name=\"RadLexCDE-RDE1576_round\"> </a></td><td>round</td><td>RDE1576_round</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1577<a name=\"RadLexCDE-RDE1577\"> </a></td><td>Type</td><td>RDE1577</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1577_complex<a name=\"RadLexCDE-RDE1577_complex\"> </a></td><td>complex</td><td>Complex cysts have irregular or scalloped borders, thick walls,\nand some evidence of solid areas and/or debris in the fluid. These\nsolid areas echo back the sound waves from the ultrasound. A complex\ncyst is sometimes aspirated, or drained with a fine needle, so\nthat the fluid inside can be tested. If blood or any unusual cells\nare present, further testing may be needed to rule out breast\ncancer.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1577_complicated<a name=\"RadLexCDE-RDE1577_complicated\"> </a></td><td>complicated</td><td>Complicated cysts are 'in between' simple and complex. Although\nthey share most of the features of simple cysts, they tend to\nhave some debris inside them and echo back some of the ultrasound\nwaves. However, they don't have the thick walls or obvious solid\ncomponents that a complex cyst has.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1577_micro<a name=\"RadLexCDE-RDE1577_micro\"> </a></td><td>micro</td><td>A microcyst Is a sac-like pocket of tissue that contains fluid,\nair, or other substances. A Microcyst is small and less than 2-3\nmm and are often in clusters and only show up on a mammogram or\nultrasound.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1577_oil<a name=\"RadLexCDE-RDE1577_oil\"> </a></td><td>oil</td><td>Oil cysts are filled with fluid that may feel smooth and soft/squishy.\nOil cysts are caused by the breakdown of fatty tissue.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1577_simple<a name=\"RadLexCDE-RDE1577_simple\"> </a></td><td>simple</td><td>A simple cyst is a sac-like pocket of membranous tissue that only\ncontains clear fluid.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1577_withDebris<a name=\"RadLexCDE-RDE1577_withDebris\"> </a></td><td>withdebris</td><td>A cyst that is filled with debris and fluid substance. It Is either\nconsidered a complex or complicated cyst. The type of debris determines\nwhat kind of cyst.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1577_cyst<a name=\"RadLexCDE-RDE1577_cyst\"> </a></td><td>cyst</td><td>RDE1577_cyst</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1578<a name=\"RadLexCDE-RDE1578\"> </a></td><td>Density</td><td>RDE1578</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1578_equal<a name=\"RadLexCDE-RDE1578_equal\"> </a></td><td>equal</td><td>RDE1578_equal</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1578_fatContaining<a name=\"RadLexCDE-RDE1578_fatContaining\"> </a></td><td>fatcontaining</td><td>RDE1578_fat containing</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1578_high<a name=\"RadLexCDE-RDE1578_high\"> </a></td><td>high</td><td>RDE1578_high</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1578_low<a name=\"RadLexCDE-RDE1578_low\"> </a></td><td>low</td><td>RDE1578_low</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1579<a name=\"RadLexCDE-RDE1579\"> </a></td><td>Margin</td><td>RDE1579</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1579_angular<a name=\"RadLexCDE-RDE1579_angular\"> </a></td><td>angular</td><td>Some or all of the margin has sharp corners, often forming acute\nangles. The margin of the mass is not circumscribed.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1579_circumscribed<a name=\"RadLexCDE-RDE1579_circumscribed\"> </a></td><td>circumscribed</td><td>A circumscribed margin is one that is well defined, with an abrupt\ntransition between the lesion and the surrounding tissue. For\nUS, to describe a mass as circumscribed, its entire margin must\nbe sharply defined. Most circumscribed lesions have round or oval\nshapes.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1579_indistinct<a name=\"RadLexCDE-RDE1579_indistinct\"> </a></td><td>indistinct</td><td>There is no clear demarcation of the entire margin, or of any\nportion of the margin, from the surrounding tissue. For mammography,\nthis descriptor should not be used when the interpreting physician\nbelieves it is likely due to immediately adjacent breast tissue.\nUse of this descriptor usually implies a suspicious finding.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1579_intraductalExtension<a name=\"RadLexCDE-RDE1579_intraductalExtension\"> </a></td><td>intraductalextension</td><td>Intraductal tumor extension is a characteristic feature of primary\nbreast carcinoma, and is an important consideration in patients\nundergoing breast conservative surgery.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1579_irregular<a name=\"RadLexCDE-RDE1579_irregular\"> </a></td><td>irregular</td><td>Edges around the soft tissue that don't look smooth. Indicative\nof some sort of growth or mass rather than a cyst.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1579_lobulated<a name=\"RadLexCDE-RDE1579_lobulated\"> </a></td><td>lobulated</td><td>The edge of the mass has broad bulges. Much like a 6 or 8 leaf\nclover. The edge of all of the leaves would be considered lobulated.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1579_macrolobulated<a name=\"RadLexCDE-RDE1579_macrolobulated\"> </a></td><td>macrolobulated</td><td>Smooth margin with distinct separation between the mass and the\nsurrounding border. Macrolobulaed margins are oval-shaped and\nhave a wide rather than tall formation.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1579_microlobulated<a name=\"RadLexCDE-RDE1579_microlobulated\"> </a></td><td>microlobulated</td><td>The margin is characterized by short-cycle undulations or scalloped\nappearance, and the margin of the mass is not circumscribed.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1579_nonCircumscribed<a name=\"RadLexCDE-RDE1579_nonCircumscribed\"> </a></td><td>noncircumscribed</td><td>The mass has one or more of the following features: indistinct,\nangular, microlobulated, or spiculated in any portion of the margin\nThere is not a clear demarcation between the mass and the surrounding\ntissue.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1579_obscured<a name=\"RadLexCDE-RDE1579_obscured\"> </a></td><td>obscured</td><td>It is hidden by superimposed or adjacent fibroglandular tissue.\nThis is used primarily when some of the margin of the mass is\ncircumscribed, but the rest (more than 25%) is hidden.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1579_smooth<a name=\"RadLexCDE-RDE1579_smooth\"> </a></td><td>smooth</td><td>The edges of the mass have a smooth appearance and distinct separation\nbetween the mass and surrounding tissue.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1579_spiculated<a name=\"RadLexCDE-RDE1579_spiculated\"> </a></td><td>spiculated</td><td>The margin is characterized by sharp lines radiating from the\nmass, often a sign of malignancy, but the significant feature\nis that the margin of the mass is not circumscribed.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1580<a name=\"RadLexCDE-RDE1580\"> </a></td><td>Orientation</td><td>RDE1580</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1580_parallelToSkin<a name=\"RadLexCDE-RDE1580_parallelToSkin\"> </a></td><td>paralleltoskin</td><td>RDE1580_parallel to skin</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1580_perpendicularToSkin<a name=\"RadLexCDE-RDE1580_perpendicularToSkin\"> </a></td><td>perpendiculartoskin</td><td>RDE1580_perpendicular to skin</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1580_tallerThanWide<a name=\"RadLexCDE-RDE1580_tallerThanWide\"> </a></td><td>tallerthanwide</td><td>RDE1580_taller than wide</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1580_widerThanTall<a name=\"RadLexCDE-RDE1580_widerThanTall\"> </a></td><td>widerthantall</td><td>RDE1580_wider than tall</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1586<a name=\"RadLexCDE-RDE1586\"> </a></td><td>Assessment category</td><td>RDE1586</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1586_category0IncompleteNeedAdditionalImaging<a name=\"RadLexCDE-RDE1586_category0IncompleteNeedAdditionalImaging\"> </a></td><td>category0needadditionalimaging</td><td>RDE1586_category 0, incomplete - need additional imaging</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1586_category1Negative<a name=\"RadLexCDE-RDE1586_category1Negative\"> </a></td><td>category1,negative</td><td>RDE1586_category 1, negative</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1586_category2BenignFinding<a name=\"RadLexCDE-RDE1586_category2BenignFinding\"> </a></td><td>category2,benignfinding</td><td>RDE1586_category 2, benign finding</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1586_category3ProbablyBenignFinding<a name=\"RadLexCDE-RDE1586_category3ProbablyBenignFinding\"> </a></td><td>category3,probablybenignfinding</td><td>RDE1586_category 3, probably benign finding</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1586_category4SuspiciousAbnormality<a name=\"RadLexCDE-RDE1586_category4SuspiciousAbnormality\"> </a></td><td>category4,suspiciousabnormality</td><td>RDE1586_category 4, suspicious abnormality</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1586_category4ASuspiciousAbnormalityLowLikelihoodOfBeingCancer<a name=\"RadLexCDE-RDE1586_category4ASuspiciousAbnormalityLowLikelihoodOfBeingCancer\"> </a></td><td>category4A,suspiciousabnormalitylowlikelihoodofbeingcancer</td><td>RDE1586_category 4A, suspicious abnormality - low likelihood of\nbeing cancer</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1586_category4BSuspiciousAbnormalityModerateLikelihoodOfBeingCancer<a name=\"RadLexCDE-RDE1586_category4BSuspiciousAbnormalityModerateLikelihoodOfBeingCancer\"> </a></td><td>category 4B,suspiciousabnormality-moderatelikelihoodofbeingcancer</td><td>RDE1586_category 4B, suspicious abnormality - moderate likelihood\nof being cancer</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1586_category4CSuspiciousAbnormalityHighLikelihoodOfBeingCancer<a name=\"RadLexCDE-RDE1586_category4CSuspiciousAbnormalityHighLikelihoodOfBeingCancer\"> </a></td><td>category4C,suspiciousabnormality-highlikelihoodofbeingcancer</td><td>RDE1586_category 4C, suspicious abnormality - high likelihood\nof being cancer</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1586_category5HighlySuggestiveOfMalignancy<a name=\"RadLexCDE-RDE1586_category5HighlySuggestiveOfMalignancy\"> </a></td><td>category5,highlysuggestiveofmalignancy</td><td>RDE1586_category 5, highly suggestive of malignancy</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1586_category6KnownBiopsyProvenMalignancy<a name=\"RadLexCDE-RDE1586_category6KnownBiopsyProvenMalignancy\"> </a></td><td>category6,knownbiopsy-provenmalignancy</td><td>RDE1586_category 6, known biopsy - proven malignancy</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1587<a name=\"RadLexCDE-RDE1587\"> </a></td><td>Breast composition category</td><td>RDE1587</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1587_categoryATheBreastsAreAlmostEntirelyFatty<a name=\"RadLexCDE-RDE1587_categoryATheBreastsAreAlmostEntirelyFatty\"> </a></td><td>categorya,thebreastsarealmostentirelyfatty</td><td>RDE1587_category a, the breasts are almost entirely fatty</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1587_categoryBThereAreScatteredAreasOfFibroglandularDensity<a name=\"RadLexCDE-RDE1587_categoryBThereAreScatteredAreasOfFibroglandularDensity\"> </a></td><td>categoryb,therearescatteredareasoffibroglandulardensity</td><td>RDE1587_category b, there are scattered areas of fibroglandular\ndensity</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1587_categoryCTheBreastsAreHeterogeneouslyDense<a name=\"RadLexCDE-RDE1587_categoryCTheBreastsAreHeterogeneouslyDense\"> </a></td><td>categoryc,thebreastsareheterogeneouslydense</td><td>RDE1587_category c, the breasts are heterogeneously dense</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1587_categoryDTheBreastsAreExtremelyDense<a name=\"RadLexCDE-RDE1587_categoryDTheBreastsAreExtremelyDense\"> </a></td><td>categoryd,thebreastsareextremelydense</td><td>RDE1587_category d, the breasts are extremely dense</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1588<a name=\"RadLexCDE-RDE1588\"> </a></td><td>Breast laterality</td><td>RDE1588</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1588_right<a name=\"RadLexCDE-RDE1588_right\"> </a></td><td>right</td><td>RDE1588_right</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1588_left<a name=\"RadLexCDE-RDE1588_left\"> </a></td><td>left</td><td>RDE1588_left</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1588_bilateral<a name=\"RadLexCDE-RDE1588_bilateral\"> </a></td><td>bilateral</td><td>RDE1588_bilateral</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1589<a name=\"RadLexCDE-RDE1589\"> </a></td><td>Implant presence</td><td>RDE1589</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1589_left<a name=\"RadLexCDE-RDE1589_left\"> </a></td><td>left</td><td>RDE1589_left</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1589_right<a name=\"RadLexCDE-RDE1589_right\"> </a></td><td>right</td><td>RDE1589_right</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1589_bilateral<a name=\"RadLexCDE-RDE1589_bilateral\"> </a></td><td>bilateral</td><td>RDE1589_bilateral</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1589_none<a name=\"RadLexCDE-RDE1589_none\"> </a></td><td>none</td><td>RDE1589_none</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1590<a name=\"RadLexCDE-RDE1590\"> </a></td><td>Prior mastectomy</td><td>RDE1590</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1590_right<a name=\"RadLexCDE-RDE1590_right\"> </a></td><td>right</td><td>RDE1590_right</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1590_left<a name=\"RadLexCDE-RDE1590_left\"> </a></td><td>left</td><td>RDE1590_left</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1590_bilateral<a name=\"RadLexCDE-RDE1590_bilateral\"> </a></td><td>bilateral</td><td>RDE1590_bilateral</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1590_none<a name=\"RadLexCDE-RDE1590_none\"> </a></td><td>none</td><td>RDE1590_none</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RDE1602<a name=\"RadLexCDE-RDE1602\"> </a></td><td>Type</td><td>RDE1602</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1602_mass<a name=\"RadLexCDE-RDE1602_mass\"> </a></td><td>mass</td><td>RDE1602_mass</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1602_intraductal<a name=\"RadLexCDE-RDE1602_intraductal\"> </a></td><td>intraductal</td><td>RDE1602_intraductal</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1602_partiallySolid<a name=\"RadLexCDE-RDE1602_partiallySolid\"> </a></td><td>partiallysolid</td><td>RDE1602_partially solid</td></tr><tr><td>2</td><td style=\"white-space:nowrap\"> RDE1602_solid<a name=\"RadLexCDE-RDE1602_solid\"> </a></td><td>solid</td><td>RDE1602_solid</td></tr></table></div>"
},
"url" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE",
"version" : "0.3.0",
"name" : "RadLexCDE",
"title" : "RadLex CDE's",
"status" : "active",
"experimental" : true,
"date" : "2022-12-07T21:19:53+00:00",
"publisher" : "HL7 International - Clinical Interoperability Council",
"contact" : [
{
"name" : "HL7 International - Clinical Interoperability Council",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cic"
}
]
}
],
"description" : "ACR Common Data Element (CDE) code system",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"copyright" : "This value set includes content from ACR RadElement, \nwhich is Copyright© 2022, Radiological Society of North America. ALL RIGHTS RESERVED. ",
"caseSensitive" : false,
"hierarchyMeaning" : "is-a",
"content" : "complete",
"count" : 190,
"concept" : [
{
"code" : "RDES241",
"display" : "Breast Calcification",
"definition" : "Breast Calcification"
},
{
"code" : "RDES243",
"display" : "Breast Cyst",
"definition" : "Breast Cyst"
},
{
"code" : "RDES245",
"display" : "BI-RADS",
"definition" : "Breast Mass Detection on Mammography"
},
{
"code" : "RDES246",
"display" : "Breast Mass",
"definition" : "Breast Mass"
},
{
"code" : "RDE1556",
"display" : "Presence",
"definition" : "Abnormalcalcificationobservation",
"concept" : [
{
"code" : "RDE1556_present",
"display" : "present",
"definition" : "RDE1556_present"
},
{
"code" : "RDE1556_absent",
"display" : "absent",
"definition" : "RDE1556_absent"
},
{
"code" : "RDE1556_indeterminate",
"display" : "indeterminate",
"definition" : "RDE1556_indeterminate"
},
{
"code" : "RDE1556_unknown",
"display" : "unknown",
"definition" : "RDE1556_unknown"
}
]
},
{
"code" : "RDE1557",
"display" : "Side",
"definition" : "Breastlateralityofabnormalityobserved",
"concept" : [
{
"code" : "RDE1557_right",
"display" : "right",
"definition" : "RDE1557_right"
},
{
"code" : "RDE1557_left",
"display" : "left",
"definition" : "RDE1557_left"
},
{
"code" : "RDE1557_bilateral",
"display" : "bilateral",
"definition" : "RDE1557_bilateral"
}
]
},
{
"code" : "RDE1558",
"display" : "Location",
"definition" : "Clockpositionsoftheabnormalityobserved",
"concept" : [
{
"code" : "RDE1558_oneOclockPosition",
"display" : "oneo'clockposition",
"definition" : "RDE1558_one o'clock position"
},
{
"code" : "RDE1558_twoOclockPosition",
"display" : "twoo'clockposition",
"definition" : "RDE1558_two o'clock position"
},
{
"code" : "RDE1558_threeOclockPosition",
"display" : "threeo'clockposition",
"definition" : "RDE1558_three o'clock position"
},
{
"code" : "RDE1558_fourOclockPosition",
"display" : "fouro'clockposition",
"definition" : "RDE1558_four o'clock position"
},
{
"code" : "RDE1558_fiveOclockPosition",
"display" : "fiveo'clockposition",
"definition" : "RDE1558_five o'clock position"
},
{
"code" : "RDE1558_sixOclockPosition",
"display" : "sixo'clockposition",
"definition" : "RDE1558_six o'clock position"
},
{
"code" : "RDE1558_sevenOclockPosition",
"display" : "seveno'clockposition",
"definition" : "RDE1558_seven o'clock position"
},
{
"code" : "RDE1558_eightOclockPosition",
"display" : "eighto'clockposition",
"definition" : "RDE1558_eight o'clock position"
},
{
"code" : "RDE1558_nineOclockPosition",
"display" : "nineo'clockposition",
"definition" : "RDE1558_nine o'clock position"
},
{
"code" : "RDE1558_tenOclockPosition",
"display" : "teno'clockposition",
"definition" : "RDE1558_ten o'clock position"
},
{
"code" : "RDE1558_elevenOclockPosition",
"display" : "eleveno'clockposition",
"definition" : "RDE1558_eleven o'clock position"
},
{
"code" : "RDE1558_twelveOclockPosition",
"display" : "twelveo'clockposition",
"definition" : "RDE1558_twelve o'clock position"
}
]
},
{
"code" : "RDE1559",
"display" : "Depth",
"definition" : "AnteriordepthistheoutermostdepthclosesttothenippleofthebreastMiddledepthinbetweentheanteriorandposteriorportionofthebreastPosteriordepthclosesttothechestwallofthebreast",
"concept" : [
{
"code" : "RDE1559_anterior",
"display" : "anterior",
"definition" : "RDE1559_anterior"
},
{
"code" : "RDE1559_middle",
"display" : "middle",
"definition" : "RDE1559_middle"
},
{
"code" : "RDE1559_posterior",
"display" : "posterior",
"definition" : "RDE1559_posterior"
}
]
},
{
"code" : "RDE1560",
"display" : "Breast body landmark",
"definition" : "Breastlandmarkvalueset",
"concept" : [
{
"code" : "RDE1560_nipple",
"display" : "nipple",
"definition" : "RDE1560_nipple"
},
{
"code" : "RDE1560_chestWall",
"display" : "chestwall",
"definition" : "RDE1560_chest wall"
},
{
"code" : "RDE1560_skinStructure",
"display" : "skinstructure",
"definition" : "RDE1560_skin structure"
}
]
},
{
"code" : "RDE1561",
"display" : "Distance from landmark",
"definition" : "Distancefrombodylandmarktobodylocationofabnormality"
},
{
"code" : "RDE1562",
"display" : "Laterality from landmark",
"definition" : "RDE1562",
"concept" : [
{
"code" : "RDE1562_rightAndLeft",
"display" : "rightandleft",
"definition" : "RDE1562_right and left"
},
{
"code" : "RDE1562_midline",
"display" : "midline",
"definition" : "RDE1562_midline"
},
{
"code" : "RDE1562_structureOfRightHalfOfBody",
"display" : "structureofrighthalfofbody",
"definition" : "RDE1562_structure of right half of body"
},
{
"code" : "RDE1562_structureOfLeftHalfOfBody",
"display" : "structureoflefthalfofbody",
"definition" : "RDE1562_structure of left half of body"
}
]
},
{
"code" : "RDE1563",
"display" : "Quadrant",
"definition" : "Quadrant of breast",
"concept" : [
{
"code" : "RDE1563_lowerInner",
"display" : "lowerinner",
"definition" : "RDE1563_lower inner"
},
{
"code" : "RDE1563_lowerOuter",
"display" : "lowerouter",
"definition" : "RDE1563_lower outer"
},
{
"code" : "RDE1563_upperInner",
"display" : "upperinner",
"definition" : "RDE1563_upper inner"
},
{
"code" : "RDE1563_upperOuter",
"display" : "upperouter",
"definition" : "RDE1563_upper outer"
}
]
},
{
"code" : "RDE1564",
"display" : "Region",
"definition" : "Region of breast",
"concept" : [
{
"code" : "RDE1564_axilla",
"display" : "axilla",
"definition" : "The axilla (also, armpit, underarm or oxter) is the area on the\nhuman body directly under the joint where the arm connects to\nthe shoulder. It also contains many sweat glands."
},
{
"code" : "RDE1564_axillaryTail",
"display" : "axillarytail",
"definition" : "RDE1564_axillary tail"
},
{
"code" : "RDE1564_axillaOne",
"display" : "axillaone",
"definition" : "There are three levels of axillary lymph nodes (the nodes in the\nunderarm or 'axilla' area): Level I is the bottom level, below\nthe lower edge of the pectoralis minor muscle."
},
{
"code" : "RDE1564_axillaTwo",
"display" : "axillatwo",
"definition" : "There are three levels of axillary lymph nodes (the nodes in the\nunderarm or 'axilla' area):Level II is lying underneath the pectoralis\nminor muscle."
},
{
"code" : "RDE1564_axillaThree",
"display" : "axillathree",
"definition" : "There are three levels of axillary lymph nodes (the nodes in the\nunderarm or 'axilla' area): Level III is above the pectoralis\nminor muscle."
},
{
"code" : "RDE1564_inframammaryFold",
"display" : "inframammaryfold",
"definition" : "The mass/lesion is located in the inframammary crease where the\nlower boundary of the breast and the chest meet."
},
{
"code" : "RDE1564_inSkin",
"display" : "inskin",
"definition" : "Located within skin."
},
{
"code" : "RDE1564_centralToNipple",
"display" : "centraltonipple",
"definition" : "Central to the nipple (central portion of the breast-behind the\nnipple)."
}
]
},
{
"code" : "RDE1565",
"display" : "Type",
"definition" : "RDE1565",
"concept" : [
{
"code" : "RDE1565_amorphous",
"display" : "amorphous",
"definition" : "RDE1565_amorphous"
},
{
"code" : "RDE1565_coarse",
"display" : "coarse",
"definition" : "RDE1565_coarse"
},
{
"code" : "RDE1565_dystrophic",
"display" : "dystrophic",
"definition" : "RDE1565_dystrophic"
},
{
"code" : "RDE1565_eggshell",
"display" : "eggshell",
"definition" : "RDE1565_eggshell"
},
{
"code" : "RDE1565_fine",
"display" : "fine",
"definition" : "RDE1565_fine"
},
{
"code" : "RDE1565_generic",
"display" : "generic",
"definition" : "RDE1565_generic"
},
{
"code" : "RDE1565_coarseHeterogeneous",
"display" : "coarseheterogeneous",
"definition" : "RDE1565_coarse heterogeneous"
},
{
"code" : "RDE1565_indistinct",
"display" : "indistinct",
"definition" : "RDE1565_indistinct"
},
{
"code" : "RDE1565_largeRoadlike",
"display" : "largeroadlike",
"definition" : "RDE1565_large roadlike"
},
{
"code" : "RDE1565_layering",
"display" : "layering",
"definition" : "RDE1565_layering"
},
{
"code" : "RDE1565_fineLinear",
"display" : "finelinear",
"definition" : "RDE1565_fine linear"
},
{
"code" : "RDE1565_lucentCentered",
"display" : "lucentcentered",
"definition" : "RDE1565_lucent centered"
},
{
"code" : "RDE1565_milkOfCalcium",
"display" : "milkofcalcium",
"definition" : "RDE1565_milk of calcium"
},
{
"code" : "RDE1565_finePleomorphic",
"display" : "finepleomorphic",
"definition" : "RDE1565_fine pleomorphic"
},
{
"code" : "RDE1565_punctate",
"display" : "punctate",
"definition" : "RDE1565_punctate"
},
{
"code" : "RDE1565_rim",
"display" : "rim",
"definition" : "RDE1565_rim"
},
{
"code" : "RDE1565_round",
"display" : "round",
"definition" : "RDE1565_round"
},
{
"code" : "RDE1565_skin",
"display" : "skin",
"definition" : "RDE1565_skin"
},
{
"code" : "RDE1565_spherical",
"display" : "spherical",
"definition" : "RDE1565_spherical"
},
{
"code" : "RDE1565_sature",
"display" : "sature",
"definition" : "RDE1565_sature"
},
{
"code" : "RDE1565_vascular",
"display" : "vascular",
"definition" : "RDE1565_vascular"
}
]
},
{
"code" : "RDE1567",
"display" : "Count",
"definition" : "RDE1567"
},
{
"code" : "RDE1568",
"display" : "Distribution",
"definition" : "RDE1568",
"concept" : [
{
"code" : "RDE1568_fineLinearBranching",
"display" : "finelinearbranching",
"definition" : "RDE1568_fine, linear, branching"
},
{
"code" : "RDE1568_clustered",
"display" : "clustered",
"definition" : "RDE1568_clustered"
},
{
"code" : "RDE1568_diffuse",
"display" : "diffuse",
"definition" : "RDE1568_diffuse"
},
{
"code" : "RDE1568_grouped",
"display" : "grouped",
"definition" : "RDE1568_grouped"
},
{
"code" : "RDE1568_linear",
"display" : "linear",
"definition" : "RDE1568_linear"
},
{
"code" : "RDE1568_regional",
"display" : "regional",
"definition" : "RDE1568_regional"
},
{
"code" : "RDE1568_segmental",
"display" : "segmental",
"definition" : "RDE1568_segmental"
}
]
},
{
"code" : "RDE1569",
"display" : "Distribution width",
"definition" : "Sizeoftheentireregionaffectedbyabnormalityinmm"
},
{
"code" : "RDE1570",
"display" : "Size",
"definition" : "Sizeofasinglefindingobservedinmm"
},
{
"code" : "RDE1571",
"display" : "Associated features",
"definition" : "RDE1571",
"concept" : [
{
"code" : "RDE1571_architecturalDistortion",
"display" : "architecturaldistortion",
"definition" : "f the mass blurs a tissue plane between fat and fibroglandular\ntissue or if the mass produces distortion of the ducts, these\nfindings may be termed architectural distortion."
},
{
"code" : "RDE1571_axillaryAdenopathy",
"display" : "axillaryadenopathy",
"definition" : "Enlarged axillary (under the armpit) lymph nodes. Additional evaluation\nis needed to determine the cause."
},
{
"code" : "RDE1571_biopsyClip",
"display" : "biopsyclip",
"definition" : "Tissue marker placement after image-guided breast biopsy has become\na routine component of clinical practice. Marker placement distinguishes\nmultiple biopsied lesions within the same breast, prevents re-biopsy\nof benign lesions, enables multi-modality correlation, guides\npre-operative localization and helps confirm surgical target removal."
},
{
"code" : "RDE1571_brachytherapyTube",
"display" : "brachytherapytube",
"definition" : "Brachytherapy may be temporary or permanent. Temporary brachytherapy\nplaces radioactive material inside a catheter for a specific amount\nof time and then it is removed. It is given at a low-dose rate\n(LDR) or high-dose rate (HDR). Permanent brachytherapy is also\ncalled seed implantation. It puts radioactive seeds (about the\nsize of a grain of rice) in or near the tumor permanently. After\nseveral months, the seeds lose their radioactivity."
},
{
"code" : "RDE1571_chestWallInvasion",
"display" : "chestwallinvasion",
"definition" : "A tumor of the lung that has invaded the chest wall."
},
{
"code" : "RDE1571_cooperDistorted",
"display" : "cooperdistorted",
"definition" : "Cooper's ligaments support the breasts on the chest wall, maintain\ntheir contour, and keep them in position. Breasts become distorted\nif cancerous tumors grow on the ligaments."
},
{
"code" : "RDE1571_cooperThickened",
"display" : "cooperthickened",
"definition" : "Cooper's ligaments support the breasts on the chest wall, maintain\ntheir contour, and keep them in position. These support breast\ntissue; and can become contracted in cancer of breast, producing\ndimples in overlying skin. Thickening occurs when there are skin\nchanges usually associated with the presence of a mass, benign\nor malignant, that causes shortening in the Coopers ligaments\ndue to fibrosis."
},
{
"code" : "RDE1571_edema",
"display" : "edema",
"definition" : "Edema (swelling of the breasts) may be due to blockage of subdermal\nlymphatics by tumor cells or an inflammatory process within the\nbreast or axilla."
},
{
"code" : "RDE1571_edemaAdj",
"display" : "edemaadj",
"definition" : "This is swelling of one or both breasts. A mammographic pattern\nof skin thickening, increased parenchymal density, and interstitial\nmarking."
},
{
"code" : "RDE1571_goldSeed",
"display" : "goldseed",
"definition" : "Tiny, gold seeds, about the size of a grain of rice, that are\nput in and/or around a tumor to show exactly where it is in the\nbody. The tumor can then be directly targeted and be given higher\ndoses of radiation with less harm to nearby healthy tissue. Also\ncalled gold fiducial marker seeds, gold fiducial markers, and\ngold-seed fiducial markers."
},
{
"code" : "RDE1571_hematoma",
"display" : "hematoma",
"definition" : "A hematoma is a localized bleeding outside of blood vessels, due\nto either disease or trauma including injury or surgery and may\ninvolve blood continuing to seep from broken capillaries."
},
{
"code" : "RDE1571_nippleRetraction",
"display" : "nippleretraction",
"definition" : "Retracted nipples lie flat against the areola. The condition can\nbe the result of inflammation or scarring of the tissue behind\nthe nipple, and caused by numerous conditions, not just cancer.\nIn the case of breast cancer, nipple retraction occurs when the\ntumor attacks the duct behind the nipple, pulling it in."
},
{
"code" : "RDE1571_noChestWallInvasion",
"display" : "nochestwallinvasion",
"definition" : "The mass has not attached itself to the chest wall."
},
{
"code" : "RDE1571_pectoralisMuscleInvasion",
"display" : "pectoralismuscleinvasion",
"definition" : "Pectoralis muscle invasion is when a tumor has become large enough\nto invade into the pectoralis muscle."
},
{
"code" : "RDE1571_pectoralisMuscleInvolvement",
"display" : "pectoralismuscleinvolvement",
"definition" : "Pectoralis muscle involvement of the tumor has been detected on\nthe MRI by muscle enhancement with obliteration of the fat plane\nbetween the tumor and the muscle."
},
{
"code" : "RDE1571_pectoralisMuscleTenting",
"display" : "pectoralismuscletenting",
"definition" : "The tent sign is a term referring to a characteristic appearance\nof the posterior edge of the breast parenchyma when a mass (usually\nan infiltrating lesion) causes its retraction and forms an inverted\n'V' that resembles the tip of a circus tent."
},
{
"code" : "RDE1571_postSurgicalScar",
"display" : "postsurgicalscar",
"definition" : "Post surgical scarring happens because of the incisions needed\nto surgically remove tumor, cells, etc. The amount of scarring\nis connected to the different stages of wound healing. Surgical\nscar care should be continued for a year."
},
{
"code" : "RDE1571_seroma",
"display" : "seroma",
"definition" : "A breast seroma is a collection (pocket) of serous fluid that\ncan develop after trauma to the breast or following procedures\nsuch as breast surgery or radiation therapy. Serous fluid is a\npale yellow, transparent fluid that contains protein, but no blood\ncells or pus."
},
{
"code" : "RDE1571_skinInvolvement",
"display" : "skininvolvement",
"definition" : "The mass or lesion has attached itself to the skin of the breast.\nThere are several layers of skin that the mass or lesion can penetrate\nand that is what determines the level of skin invasion."
},
{
"code" : "RDE1571_skinLesion",
"display" : "skinlesion",
"definition" : "A skin lesion is a part of the skin that has an abnormal growth\nor appearance compared to the skin around it.In order to diagnose\na skin lesion, a full physical exam is necessary."
},
{
"code" : "RDE1571_skinRetraction",
"display" : "skinretraction",
"definition" : "Skin retraction (or inversion) or Skin retraction. Breast cancers\nthat are located near the skin or nipple may cause scarring within\nthe breast that pulls at the nipple or nearby skin. Skin and nipple\nretraction are more obvious when a woman raises her arms above\nher head or leans forward."
},
{
"code" : "RDE1571_skinThickening",
"display" : "skinthickening",
"definition" : "The presence of skin thickening on mammography is variably defined,\nusually being more than 2 mm in thickness. It can result from\na number of both benign and malignant causes."
},
{
"code" : "RDE1571_surgicalClip",
"display" : "surgicalclip",
"definition" : "Most surgical clips are currently made of titanium, and as many\nas 30 to 40 clips may be used during a single surgical procedure.\nSurgical clips may remain inside the patient's body after the\nwounds are healed."
},
{
"code" : "RDE1571_trabecularThickening",
"display" : "trabecularthickening",
"definition" : "Trabecular thickening-thickening of the Cooper's ligaments and\nfibrous stroma-is an imaging finding of breast edema, usually\nsecondary to dilated lymphatics. Skin thickening and trabecular\nthickening often occur together, and they have similar differential\ndiagnoses."
},
{
"code" : "RDE1571_calcificationInMass",
"display" : "calcificationinmass",
"definition" : "Calcifications usually can't be felt, but appear on a mammogram.\nDepending on how calcifications are clustered; shape, size, and\nnumber, further tests may be necessary. Larger 'macrocalcifications'\nare usually not associated with cancer."
},
{
"code" : "RDE1571_calcificationNotOnMammogram",
"display" : "calcificationnotonmammogram",
"definition" : "Calcifications usually can't be felt, but appear on a mammogram.\nCalcifications can be clustered and their shape, size, and number.\nLarge 'macrocalcifications' are usually not associated with cancer."
},
{
"code" : "RDE1571_calcificationOnMammogram",
"display" : "calcificationonmammogram",
"definition" : "Calcifications are small deposits of calcium that show up on mammograms\nas bright white specks or dots on the soft tissue background of\nthe breasts. The calcium readily absorbs the X-rays from mammograms"
},
{
"code" : "RDE1571_calcifications",
"display" : "calcifications",
"definition" : "Calcifications are small deposits of calcium that show up on mammograms\nas bright white specks or dots on the soft tissue background of\nthe breasts."
},
{
"code" : "RDE1571_microCalcifications",
"display" : "microcalcifications",
"definition" : "Micro-calcifications show up as fine, white specks in a mammogram,\nsimilar to grains of salt; usually noncancerous, but certain patterns\ncan be an early sign of cancer."
},
{
"code" : "RDE1571_milkOfCalcium",
"display" : "milkofcalcium",
"definition" : "The term milk of calcium (MOC) is given to dependent, sedimented\ncalcification within a cystic structure or hollow organ. This\nsort of colloidal calcium suspension layering can occur in various\nregions."
},
{
"code" : "RDE1571_rimCalcifications",
"display" : "rimcalcifications",
"definition" : "These are very thin benign calcifications that appear as calcium\nis deposited on the surface of a sphere. Although fat necrosis\ncan produce these thin deposits, calcifications in the wall of\ncysts are the most common 'rim' calcifications."
}
]
},
{
"code" : "RDE1576",
"display" : "Shape",
"definition" : "RDE1576",
"concept" : [
{
"code" : "RDE1576_irregular",
"display" : "irregular",
"definition" : "RDE1576_irregular"
},
{
"code" : "RDE1576_lobular",
"display" : "lobular",
"definition" : "RDE1576_lobular"
},
{
"code" : "RDE1576_oval",
"display" : "oval",
"definition" : "RDE1576_oval"
},
{
"code" : "RDE1576_round",
"display" : "round",
"definition" : "RDE1576_round"
}
]
},
{
"code" : "RDE1577",
"display" : "Type",
"definition" : "RDE1577",
"concept" : [
{
"code" : "RDE1577_complex",
"display" : "complex",
"definition" : "Complex cysts have irregular or scalloped borders, thick walls,\nand some evidence of solid areas and/or debris in the fluid. These\nsolid areas echo back the sound waves from the ultrasound. A complex\ncyst is sometimes aspirated, or drained with a fine needle, so\nthat the fluid inside can be tested. If blood or any unusual cells\nare present, further testing may be needed to rule out breast\ncancer."
},
{
"code" : "RDE1577_complicated",
"display" : "complicated",
"definition" : "Complicated cysts are 'in between' simple and complex. Although\nthey share most of the features of simple cysts, they tend to\nhave some debris inside them and echo back some of the ultrasound\nwaves. However, they don't have the thick walls or obvious solid\ncomponents that a complex cyst has."
},
{
"code" : "RDE1577_micro",
"display" : "micro",
"definition" : "A microcyst Is a sac-like pocket of tissue that contains fluid,\nair, or other substances. A Microcyst is small and less than 2-3\nmm and are often in clusters and only show up on a mammogram or\nultrasound."
},
{
"code" : "RDE1577_oil",
"display" : "oil",
"definition" : "Oil cysts are filled with fluid that may feel smooth and soft/squishy.\nOil cysts are caused by the breakdown of fatty tissue."
},
{
"code" : "RDE1577_simple",
"display" : "simple",
"definition" : "A simple cyst is a sac-like pocket of membranous tissue that only\ncontains clear fluid."
},
{
"code" : "RDE1577_withDebris",
"display" : "withdebris",
"definition" : "A cyst that is filled with debris and fluid substance. It Is either\nconsidered a complex or complicated cyst. The type of debris determines\nwhat kind of cyst."
},
{
"code" : "RDE1577_cyst",
"display" : "cyst",
"definition" : "RDE1577_cyst"
}
]
},
{
"code" : "RDE1578",
"display" : "Density",
"definition" : "RDE1578",
"concept" : [
{
"code" : "RDE1578_equal",
"display" : "equal",
"definition" : "RDE1578_equal"
},
{
"code" : "RDE1578_fatContaining",
"display" : "fatcontaining",
"definition" : "RDE1578_fat containing"
},
{
"code" : "RDE1578_high",
"display" : "high",
"definition" : "RDE1578_high"
},
{
"code" : "RDE1578_low",
"display" : "low",
"definition" : "RDE1578_low"
}
]
},
{
"code" : "RDE1579",
"display" : "Margin",
"definition" : "RDE1579",
"concept" : [
{
"code" : "RDE1579_angular",
"display" : "angular",
"definition" : "Some or all of the margin has sharp corners, often forming acute\nangles. The margin of the mass is not circumscribed."
},
{
"code" : "RDE1579_circumscribed",
"display" : "circumscribed",
"definition" : "A circumscribed margin is one that is well defined, with an abrupt\ntransition between the lesion and the surrounding tissue. For\nUS, to describe a mass as circumscribed, its entire margin must\nbe sharply defined. Most circumscribed lesions have round or oval\nshapes."
},
{
"code" : "RDE1579_indistinct",
"display" : "indistinct",
"definition" : "There is no clear demarcation of the entire margin, or of any\nportion of the margin, from the surrounding tissue. For mammography,\nthis descriptor should not be used when the interpreting physician\nbelieves it is likely due to immediately adjacent breast tissue.\nUse of this descriptor usually implies a suspicious finding."
},
{
"code" : "RDE1579_intraductalExtension",
"display" : "intraductalextension",
"definition" : "Intraductal tumor extension is a characteristic feature of primary\nbreast carcinoma, and is an important consideration in patients\nundergoing breast conservative surgery."
},
{
"code" : "RDE1579_irregular",
"display" : "irregular",
"definition" : "Edges around the soft tissue that don't look smooth. Indicative\nof some sort of growth or mass rather than a cyst."
},
{
"code" : "RDE1579_lobulated",
"display" : "lobulated",
"definition" : "The edge of the mass has broad bulges. Much like a 6 or 8 leaf\nclover. The edge of all of the leaves would be considered lobulated."
},
{
"code" : "RDE1579_macrolobulated",
"display" : "macrolobulated",
"definition" : "Smooth margin with distinct separation between the mass and the\nsurrounding border. Macrolobulaed margins are oval-shaped and\nhave a wide rather than tall formation."
},
{
"code" : "RDE1579_microlobulated",
"display" : "microlobulated",
"definition" : "The margin is characterized by short-cycle undulations or scalloped\nappearance, and the margin of the mass is not circumscribed."
},
{
"code" : "RDE1579_nonCircumscribed",
"display" : "noncircumscribed",
"definition" : "The mass has one or more of the following features: indistinct,\nangular, microlobulated, or spiculated in any portion of the margin\nThere is not a clear demarcation between the mass and the surrounding\ntissue."
},
{
"code" : "RDE1579_obscured",
"display" : "obscured",
"definition" : "It is hidden by superimposed or adjacent fibroglandular tissue.\nThis is used primarily when some of the margin of the mass is\ncircumscribed, but the rest (more than 25%) is hidden."
},
{
"code" : "RDE1579_smooth",
"display" : "smooth",
"definition" : "The edges of the mass have a smooth appearance and distinct separation\nbetween the mass and surrounding tissue."
},
{
"code" : "RDE1579_spiculated",
"display" : "spiculated",
"definition" : "The margin is characterized by sharp lines radiating from the\nmass, often a sign of malignancy, but the significant feature\nis that the margin of the mass is not circumscribed."
}
]
},
{
"code" : "RDE1580",
"display" : "Orientation",
"definition" : "RDE1580",
"concept" : [
{
"code" : "RDE1580_parallelToSkin",
"display" : "paralleltoskin",
"definition" : "RDE1580_parallel to skin"
},
{
"code" : "RDE1580_perpendicularToSkin",
"display" : "perpendiculartoskin",
"definition" : "RDE1580_perpendicular to skin"
},
{
"code" : "RDE1580_tallerThanWide",
"display" : "tallerthanwide",
"definition" : "RDE1580_taller than wide"
},
{
"code" : "RDE1580_widerThanTall",
"display" : "widerthantall",
"definition" : "RDE1580_wider than tall"
}
]
},
{
"code" : "RDE1586",
"display" : "Assessment category",
"definition" : "RDE1586",
"concept" : [
{
"code" : "RDE1586_category0IncompleteNeedAdditionalImaging",
"display" : "category0needadditionalimaging",
"definition" : "RDE1586_category 0, incomplete - need additional imaging"
},
{
"code" : "RDE1586_category1Negative",
"display" : "category1,negative",
"definition" : "RDE1586_category 1, negative"
},
{
"code" : "RDE1586_category2BenignFinding",
"display" : "category2,benignfinding",
"definition" : "RDE1586_category 2, benign finding"
},
{
"code" : "RDE1586_category3ProbablyBenignFinding",
"display" : "category3,probablybenignfinding",
"definition" : "RDE1586_category 3, probably benign finding"
},
{
"code" : "RDE1586_category4SuspiciousAbnormality",
"display" : "category4,suspiciousabnormality",
"definition" : "RDE1586_category 4, suspicious abnormality"
},
{
"code" : "RDE1586_category4ASuspiciousAbnormalityLowLikelihoodOfBeingCancer",
"display" : "category4A,suspiciousabnormalitylowlikelihoodofbeingcancer",
"definition" : "RDE1586_category 4A, suspicious abnormality - low likelihood of\nbeing cancer"
},
{
"code" : "RDE1586_category4BSuspiciousAbnormalityModerateLikelihoodOfBeingCancer",
"display" : "category 4B,suspiciousabnormality-moderatelikelihoodofbeingcancer",
"definition" : "RDE1586_category 4B, suspicious abnormality - moderate likelihood\nof being cancer"
},
{
"code" : "RDE1586_category4CSuspiciousAbnormalityHighLikelihoodOfBeingCancer",
"display" : "category4C,suspiciousabnormality-highlikelihoodofbeingcancer",
"definition" : "RDE1586_category 4C, suspicious abnormality - high likelihood\nof being cancer"
},
{
"code" : "RDE1586_category5HighlySuggestiveOfMalignancy",
"display" : "category5,highlysuggestiveofmalignancy",
"definition" : "RDE1586_category 5, highly suggestive of malignancy"
},
{
"code" : "RDE1586_category6KnownBiopsyProvenMalignancy",
"display" : "category6,knownbiopsy-provenmalignancy",
"definition" : "RDE1586_category 6, known biopsy - proven malignancy"
}
]
},
{
"code" : "RDE1587",
"display" : "Breast composition category",
"definition" : "RDE1587",
"concept" : [
{
"code" : "RDE1587_categoryATheBreastsAreAlmostEntirelyFatty",
"display" : "categorya,thebreastsarealmostentirelyfatty",
"definition" : "RDE1587_category a, the breasts are almost entirely fatty"
},
{
"code" : "RDE1587_categoryBThereAreScatteredAreasOfFibroglandularDensity",
"display" : "categoryb,therearescatteredareasoffibroglandulardensity",
"definition" : "RDE1587_category b, there are scattered areas of fibroglandular\ndensity"
},
{
"code" : "RDE1587_categoryCTheBreastsAreHeterogeneouslyDense",
"display" : "categoryc,thebreastsareheterogeneouslydense",
"definition" : "RDE1587_category c, the breasts are heterogeneously dense"
},
{
"code" : "RDE1587_categoryDTheBreastsAreExtremelyDense",
"display" : "categoryd,thebreastsareextremelydense",
"definition" : "RDE1587_category d, the breasts are extremely dense"
}
]
},
{
"code" : "RDE1588",
"display" : "Breast laterality",
"definition" : "RDE1588",
"concept" : [
{
"code" : "RDE1588_right",
"display" : "right",
"definition" : "RDE1588_right"
},
{
"code" : "RDE1588_left",
"display" : "left",
"definition" : "RDE1588_left"
},
{
"code" : "RDE1588_bilateral",
"display" : "bilateral",
"definition" : "RDE1588_bilateral"
}
]
},
{
"code" : "RDE1589",
"display" : "Implant presence",
"definition" : "RDE1589",
"concept" : [
{
"code" : "RDE1589_left",
"display" : "left",
"definition" : "RDE1589_left"
},
{
"code" : "RDE1589_right",
"display" : "right",
"definition" : "RDE1589_right"
},
{
"code" : "RDE1589_bilateral",
"display" : "bilateral",
"definition" : "RDE1589_bilateral"
},
{
"code" : "RDE1589_none",
"display" : "none",
"definition" : "RDE1589_none"
}
]
},
{
"code" : "RDE1590",
"display" : "Prior mastectomy",
"definition" : "RDE1590",
"concept" : [
{
"code" : "RDE1590_right",
"display" : "right",
"definition" : "RDE1590_right"
},
{
"code" : "RDE1590_left",
"display" : "left",
"definition" : "RDE1590_left"
},
{
"code" : "RDE1590_bilateral",
"display" : "bilateral",
"definition" : "RDE1590_bilateral"
},
{
"code" : "RDE1590_none",
"display" : "none",
"definition" : "RDE1590_none"
}
]
},
{
"code" : "RDE1602",
"display" : "Type",
"definition" : "RDE1602",
"concept" : [
{
"code" : "RDE1602_mass",
"display" : "mass",
"definition" : "RDE1602_mass"
},
{
"code" : "RDE1602_intraductal",
"display" : "intraductal",
"definition" : "RDE1602_intraductal"
},
{
"code" : "RDE1602_partiallySolid",
"display" : "partiallysolid",
"definition" : "RDE1602_partially solid"
},
{
"code" : "RDE1602_solid",
"display" : "solid",
"definition" : "RDE1602_solid"
}
]
}
]
}
IG © 2020+ HL7 International - Clinical Interoperability Council. Package hl7.fhir.us.breast-radiology#0.3.0 based on FHIR 4.0.1. Generated 2022-12-07
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