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 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="RadLexCDE"/>
<text>
<status value="generated"/>
<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
human body directly under the joint where the arm connects to
the 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
underarm or 'axilla' area): Level I is the bottom level, below
the 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
underarm or 'axilla' area):Level II is lying underneath the pectoralis
minor 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
underarm or 'axilla' area): Level III is above the pectoralis
minor 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
lower 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
nipple).</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
tissue or if the mass produces distortion of the ducts, these
findings 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
is 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
a routine component of clinical practice. Marker placement distinguishes
multiple biopsied lesions within the same breast, prevents re-biopsy
of benign lesions, enables multi-modality correlation, guides
pre-operative localization and helps confirm surgical target removal.</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
places radioactive material inside a catheter for a specific amount
of time and then it is removed. It is given at a low-dose rate
(LDR) or high-dose rate (HDR). Permanent brachytherapy is also
called seed implantation. It puts radioactive seeds (about the
size of a grain of rice) in or near the tumor permanently. After
several months, the seeds lose their radioactivity.</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
their contour, and keep them in position. Breasts become distorted
if 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
their contour, and keep them in position. These support breast
tissue; and can become contracted in cancer of breast, producing
dimples in overlying skin. Thickening occurs when there are skin
changes usually associated with the presence of a mass, benign
or malignant, that causes shortening in the Coopers ligaments
due to fibrosis.</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
lymphatics by tumor cells or an inflammatory process within the
breast 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
of skin thickening, increased parenchymal density, and interstitial
marking.</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
put in and/or around a tumor to show exactly where it is in the
body. The tumor can then be directly targeted and be given higher
doses of radiation with less harm to nearby healthy tissue. Also
called gold fiducial marker seeds, gold fiducial markers, and
gold-seed fiducial markers.</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
to either disease or trauma including injury or surgery and may
involve 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
be the result of inflammation or scarring of the tissue behind
the nipple, and caused by numerous conditions, not just cancer.
In the case of breast cancer, nipple retraction occurs when the
tumor attacks the duct behind the nipple, pulling it in.</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
to 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
the MRI by muscle enhancement with obliteration of the fat plane
between 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
of the posterior edge of the breast parenchyma when a mass (usually
an infiltrating lesion) causes its retraction and forms an inverted
'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
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.</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
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.</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.
There are several layers of skin that the mass or lesion can penetrate
and 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
or appearance compared to the skin around it.In order to diagnose
a 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
that are located near the skin or nipple may cause scarring within
the breast that pulls at the nipple or nearby skin. Skin and nipple
retraction are more obvious when a woman raises her arms above
her head or leans forward.</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,
usually being more than 2 mm in thickness. It can result from
a 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
as 30 to 40 clips may be used during a single surgical procedure.
Surgical clips may remain inside the patient's body after the
wounds are healed.</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
fibrous stroma-is an imaging finding of breast edema, usually
secondary to dilated lymphatics. Skin thickening and trabecular
thickening often occur together, and they have similar differential
diagnoses.</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.
Depending on how calcifications are clustered; shape, size, and
number, further tests may be necessary. Larger 'macrocalcifications'
are 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.
Calcifications can be clustered and their shape, size, and number.
Large '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
as bright white specks or dots on the soft tissue background of
the 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
as bright white specks or dots on the soft tissue background of
the 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,
similar to grains of salt; usually noncancerous, but certain patterns
can 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
calcification within a cystic structure or hollow organ. This
sort of colloidal calcium suspension layering can occur in various
regions.</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
is deposited on the surface of a sphere. Although fat necrosis
can produce these thin deposits, calcifications in the wall of
cysts are the most common 'rim' calcifications.</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,
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.</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
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.</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,
air, or other substances. A Microcyst is small and less than 2-3
mm and are often in clusters and only show up on a mammogram or
ultrasound.</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.
Oil 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
contains 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
considered a complex or complicated cyst. The type of debris determines
what 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
angles. 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
transition between the lesion and the surrounding tissue. For
US, to describe a mass as circumscribed, its entire margin must
be sharply defined. Most circumscribed lesions have round or oval
shapes.</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
portion of the margin, from the surrounding tissue. For mammography,
this descriptor should not be used when the interpreting physician
believes it is likely due to immediately adjacent breast tissue.
Use 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
breast carcinoma, and is an important consideration in patients
undergoing 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
of 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
clover. 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
surrounding border. Macrolobulaed margins are oval-shaped and
have 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
appearance, 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,
angular, microlobulated, or spiculated in any portion of the margin
There is not a clear demarcation between the mass and the surrounding
tissue.</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.
This is used primarily when some of the margin of the mass is
circumscribed, 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
between 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
mass, often a sign of malignancy, but the significant feature
is 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
being 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
of 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
of 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
density</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>
</text>
<url value="http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE"/>
<version value="0.3.0"/>
<name value="RadLexCDE"/>
<title value="RadLex CDE's"/>
<status value="active"/>
<experimental value="true"/>
<date value="2022-12-07T21:19:53+00:00"/>
<publisher value="HL7 International - Clinical Interoperability Council"/>
<contact>
<name value="HL7 International - Clinical Interoperability Council"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/cic"/>
</telecom>
</contact>
<description value="ACR Common Data Element (CDE) code system"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
<display value="United States of America"/>
</coding>
</jurisdiction>
<copyright
value="This value set includes content from ACR RadElement,
which is Copyright© 2022, Radiological Society of North America. ALL RIGHTS RESERVED. "/>
<caseSensitive value="false"/>
<hierarchyMeaning value="is-a"/>
<content value="complete"/>
<count value="190"/>
<concept>
<code value="RDES241"/>
<display value="Breast Calcification"/>
<definition value="Breast Calcification"/>
</concept>
<concept>
<code value="RDES243"/>
<display value="Breast Cyst"/>
<definition value="Breast Cyst"/>
</concept>
<concept>
<code value="RDES245"/>
<display value="BI-RADS"/>
<definition value="Breast Mass Detection on Mammography"/>
</concept>
<concept>
<code value="RDES246"/>
<display value="Breast Mass"/>
<definition value="Breast Mass"/>
</concept>
<concept>
<code value="RDE1556"/>
<display value="Presence"/>
<definition value="Abnormalcalcificationobservation"/>
<concept>
<code value="RDE1556_present"/>
<display value="present"/>
<definition value="RDE1556_present"/>
</concept>
<concept>
<code value="RDE1556_absent"/>
<display value="absent"/>
<definition value="RDE1556_absent"/>
</concept>
<concept>
<code value="RDE1556_indeterminate"/>
<display value="indeterminate"/>
<definition value="RDE1556_indeterminate"/>
</concept>
<concept>
<code value="RDE1556_unknown"/>
<display value="unknown"/>
<definition value="RDE1556_unknown"/>
</concept>
</concept>
<concept>
<code value="RDE1557"/>
<display value="Side"/>
<definition value="Breastlateralityofabnormalityobserved"/>
<concept>
<code value="RDE1557_right"/>
<display value="right"/>
<definition value="RDE1557_right"/>
</concept>
<concept>
<code value="RDE1557_left"/>
<display value="left"/>
<definition value="RDE1557_left"/>
</concept>
<concept>
<code value="RDE1557_bilateral"/>
<display value="bilateral"/>
<definition value="RDE1557_bilateral"/>
</concept>
</concept>
<concept>
<code value="RDE1558"/>
<display value="Location"/>
<definition value="Clockpositionsoftheabnormalityobserved"/>
<concept>
<code value="RDE1558_oneOclockPosition"/>
<display value="oneo'clockposition"/>
<definition value="RDE1558_one o'clock position"/>
</concept>
<concept>
<code value="RDE1558_twoOclockPosition"/>
<display value="twoo'clockposition"/>
<definition value="RDE1558_two o'clock position"/>
</concept>
<concept>
<code value="RDE1558_threeOclockPosition"/>
<display value="threeo'clockposition"/>
<definition value="RDE1558_three o'clock position"/>
</concept>
<concept>
<code value="RDE1558_fourOclockPosition"/>
<display value="fouro'clockposition"/>
<definition value="RDE1558_four o'clock position"/>
</concept>
<concept>
<code value="RDE1558_fiveOclockPosition"/>
<display value="fiveo'clockposition"/>
<definition value="RDE1558_five o'clock position"/>
</concept>
<concept>
<code value="RDE1558_sixOclockPosition"/>
<display value="sixo'clockposition"/>
<definition value="RDE1558_six o'clock position"/>
</concept>
<concept>
<code value="RDE1558_sevenOclockPosition"/>
<display value="seveno'clockposition"/>
<definition value="RDE1558_seven o'clock position"/>
</concept>
<concept>
<code value="RDE1558_eightOclockPosition"/>
<display value="eighto'clockposition"/>
<definition value="RDE1558_eight o'clock position"/>
</concept>
<concept>
<code value="RDE1558_nineOclockPosition"/>
<display value="nineo'clockposition"/>
<definition value="RDE1558_nine o'clock position"/>
</concept>
<concept>
<code value="RDE1558_tenOclockPosition"/>
<display value="teno'clockposition"/>
<definition value="RDE1558_ten o'clock position"/>
</concept>
<concept>
<code value="RDE1558_elevenOclockPosition"/>
<display value="eleveno'clockposition"/>
<definition value="RDE1558_eleven o'clock position"/>
</concept>
<concept>
<code value="RDE1558_twelveOclockPosition"/>
<display value="twelveo'clockposition"/>
<definition value="RDE1558_twelve o'clock position"/>
</concept>
</concept>
<concept>
<code value="RDE1559"/>
<display value="Depth"/>
<definition
value="AnteriordepthistheoutermostdepthclosesttothenippleofthebreastMiddledepthinbetweentheanteriorandposteriorportionofthebreastPosteriordepthclosesttothechestwallofthebreast"/>
<concept>
<code value="RDE1559_anterior"/>
<display value="anterior"/>
<definition value="RDE1559_anterior"/>
</concept>
<concept>
<code value="RDE1559_middle"/>
<display value="middle"/>
<definition value="RDE1559_middle"/>
</concept>
<concept>
<code value="RDE1559_posterior"/>
<display value="posterior"/>
<definition value="RDE1559_posterior"/>
</concept>
</concept>
<concept>
<code value="RDE1560"/>
<display value="Breast body landmark"/>
<definition value="Breastlandmarkvalueset"/>
<concept>
<code value="RDE1560_nipple"/>
<display value="nipple"/>
<definition value="RDE1560_nipple"/>
</concept>
<concept>
<code value="RDE1560_chestWall"/>
<display value="chestwall"/>
<definition value="RDE1560_chest wall"/>
</concept>
<concept>
<code value="RDE1560_skinStructure"/>
<display value="skinstructure"/>
<definition value="RDE1560_skin structure"/>
</concept>
</concept>
<concept>
<code value="RDE1561"/>
<display value="Distance from landmark"/>
<definition value="Distancefrombodylandmarktobodylocationofabnormality"/>
</concept>
<concept>
<code value="RDE1562"/>
<display value="Laterality from landmark"/>
<definition value="RDE1562"/>
<concept>
<code value="RDE1562_rightAndLeft"/>
<display value="rightandleft"/>
<definition value="RDE1562_right and left"/>
</concept>
<concept>
<code value="RDE1562_midline"/>
<display value="midline"/>
<definition value="RDE1562_midline"/>
</concept>
<concept>
<code value="RDE1562_structureOfRightHalfOfBody"/>
<display value="structureofrighthalfofbody"/>
<definition value="RDE1562_structure of right half of body"/>
</concept>
<concept>
<code value="RDE1562_structureOfLeftHalfOfBody"/>
<display value="structureoflefthalfofbody"/>
<definition value="RDE1562_structure of left half of body"/>
</concept>
</concept>
<concept>
<code value="RDE1563"/>
<display value="Quadrant"/>
<definition value="Quadrant of breast"/>
<concept>
<code value="RDE1563_lowerInner"/>
<display value="lowerinner"/>
<definition value="RDE1563_lower inner"/>
</concept>
<concept>
<code value="RDE1563_lowerOuter"/>
<display value="lowerouter"/>
<definition value="RDE1563_lower outer"/>
</concept>
<concept>
<code value="RDE1563_upperInner"/>
<display value="upperinner"/>
<definition value="RDE1563_upper inner"/>
</concept>
<concept>
<code value="RDE1563_upperOuter"/>
<display value="upperouter"/>
<definition value="RDE1563_upper outer"/>
</concept>
</concept>
<concept>
<code value="RDE1564"/>
<display value="Region"/>
<definition value="Region of breast"/>
<concept>
<code value="RDE1564_axilla"/>
<display value="axilla"/>
<definition
value="The axilla (also, armpit, underarm or oxter) is the area on the
human body directly under the joint where the arm connects to
the shoulder. It also contains many sweat glands."/>
</concept>
<concept>
<code value="RDE1564_axillaryTail"/>
<display value="axillarytail"/>
<definition value="RDE1564_axillary tail"/>
</concept>
<concept>
<code value="RDE1564_axillaOne"/>
<display value="axillaone"/>
<definition
value="There are three levels of axillary lymph nodes (the nodes in the
underarm or 'axilla' area): Level I is the bottom level, below
the lower edge of the pectoralis minor muscle."/>
</concept>
<concept>
<code value="RDE1564_axillaTwo"/>
<display value="axillatwo"/>
<definition
value="There are three levels of axillary lymph nodes (the nodes in the
underarm or 'axilla' area):Level II is lying underneath the pectoralis
minor muscle."/>
</concept>
<concept>
<code value="RDE1564_axillaThree"/>
<display value="axillathree"/>
<definition
value="There are three levels of axillary lymph nodes (the nodes in the
underarm or 'axilla' area): Level III is above the pectoralis
minor muscle."/>
</concept>
<concept>
<code value="RDE1564_inframammaryFold"/>
<display value="inframammaryfold"/>
<definition
value="The mass/lesion is located in the inframammary crease where the
lower boundary of the breast and the chest meet."/>
</concept>
<concept>
<code value="RDE1564_inSkin"/>
<display value="inskin"/>
<definition value="Located within skin."/>
</concept>
<concept>
<code value="RDE1564_centralToNipple"/>
<display value="centraltonipple"/>
<definition
value="Central to the nipple (central portion of the breast-behind the
nipple)."/>
</concept>
</concept>
<concept>
<code value="RDE1565"/>
<display value="Type"/>
<definition value="RDE1565"/>
<concept>
<code value="RDE1565_amorphous"/>
<display value="amorphous"/>
<definition value="RDE1565_amorphous"/>
</concept>
<concept>
<code value="RDE1565_coarse"/>
<display value="coarse"/>
<definition value="RDE1565_coarse"/>
</concept>
<concept>
<code value="RDE1565_dystrophic"/>
<display value="dystrophic"/>
<definition value="RDE1565_dystrophic"/>
</concept>
<concept>
<code value="RDE1565_eggshell"/>
<display value="eggshell"/>
<definition value="RDE1565_eggshell"/>
</concept>
<concept>
<code value="RDE1565_fine"/>
<display value="fine"/>
<definition value="RDE1565_fine"/>
</concept>
<concept>
<code value="RDE1565_generic"/>
<display value="generic"/>
<definition value="RDE1565_generic"/>
</concept>
<concept>
<code value="RDE1565_coarseHeterogeneous"/>
<display value="coarseheterogeneous"/>
<definition value="RDE1565_coarse heterogeneous"/>
</concept>
<concept>
<code value="RDE1565_indistinct"/>
<display value="indistinct"/>
<definition value="RDE1565_indistinct"/>
</concept>
<concept>
<code value="RDE1565_largeRoadlike"/>
<display value="largeroadlike"/>
<definition value="RDE1565_large roadlike"/>
</concept>
<concept>
<code value="RDE1565_layering"/>
<display value="layering"/>
<definition value="RDE1565_layering"/>
</concept>
<concept>
<code value="RDE1565_fineLinear"/>
<display value="finelinear"/>
<definition value="RDE1565_fine linear"/>
</concept>
<concept>
<code value="RDE1565_lucentCentered"/>
<display value="lucentcentered"/>
<definition value="RDE1565_lucent centered"/>
</concept>
<concept>
<code value="RDE1565_milkOfCalcium"/>
<display value="milkofcalcium"/>
<definition value="RDE1565_milk of calcium"/>
</concept>
<concept>
<code value="RDE1565_finePleomorphic"/>
<display value="finepleomorphic"/>
<definition value="RDE1565_fine pleomorphic"/>
</concept>
<concept>
<code value="RDE1565_punctate"/>
<display value="punctate"/>
<definition value="RDE1565_punctate"/>
</concept>
<concept>
<code value="RDE1565_rim"/>
<display value="rim"/>
<definition value="RDE1565_rim"/>
</concept>
<concept>
<code value="RDE1565_round"/>
<display value="round"/>
<definition value="RDE1565_round"/>
</concept>
<concept>
<code value="RDE1565_skin"/>
<display value="skin"/>
<definition value="RDE1565_skin"/>
</concept>
<concept>
<code value="RDE1565_spherical"/>
<display value="spherical"/>
<definition value="RDE1565_spherical"/>
</concept>
<concept>
<code value="RDE1565_sature"/>
<display value="sature"/>
<definition value="RDE1565_sature"/>
</concept>
<concept>
<code value="RDE1565_vascular"/>
<display value="vascular"/>
<definition value="RDE1565_vascular"/>
</concept>
</concept>
<concept>
<code value="RDE1567"/>
<display value="Count"/>
<definition value="RDE1567"/>
</concept>
<concept>
<code value="RDE1568"/>
<display value="Distribution"/>
<definition value="RDE1568"/>
<concept>
<code value="RDE1568_fineLinearBranching"/>
<display value="finelinearbranching"/>
<definition value="RDE1568_fine, linear, branching"/>
</concept>
<concept>
<code value="RDE1568_clustered"/>
<display value="clustered"/>
<definition value="RDE1568_clustered"/>
</concept>
<concept>
<code value="RDE1568_diffuse"/>
<display value="diffuse"/>
<definition value="RDE1568_diffuse"/>
</concept>
<concept>
<code value="RDE1568_grouped"/>
<display value="grouped"/>
<definition value="RDE1568_grouped"/>
</concept>
<concept>
<code value="RDE1568_linear"/>
<display value="linear"/>
<definition value="RDE1568_linear"/>
</concept>
<concept>
<code value="RDE1568_regional"/>
<display value="regional"/>
<definition value="RDE1568_regional"/>
</concept>
<concept>
<code value="RDE1568_segmental"/>
<display value="segmental"/>
<definition value="RDE1568_segmental"/>
</concept>
</concept>
<concept>
<code value="RDE1569"/>
<display value="Distribution width"/>
<definition value="Sizeoftheentireregionaffectedbyabnormalityinmm"/>
</concept>
<concept>
<code value="RDE1570"/>
<display value="Size"/>
<definition value="Sizeofasinglefindingobservedinmm"/>
</concept>
<concept>
<code value="RDE1571"/>
<display value="Associated features"/>
<definition value="RDE1571"/>
<concept>
<code value="RDE1571_architecturalDistortion"/>
<display value="architecturaldistortion"/>
<definition
value="f the mass blurs a tissue plane between fat and fibroglandular
tissue or if the mass produces distortion of the ducts, these
findings may be termed architectural distortion."/>
</concept>
<concept>
<code value="RDE1571_axillaryAdenopathy"/>
<display value="axillaryadenopathy"/>
<definition
value="Enlarged axillary (under the armpit) lymph nodes. Additional evaluation
is needed to determine the cause."/>
</concept>
<concept>
<code value="RDE1571_biopsyClip"/>
<display value="biopsyclip"/>
<definition
value="Tissue marker placement after image-guided breast biopsy has become
a routine component of clinical practice. Marker placement distinguishes
multiple biopsied lesions within the same breast, prevents re-biopsy
of benign lesions, enables multi-modality correlation, guides
pre-operative localization and helps confirm surgical target removal."/>
</concept>
<concept>
<code value="RDE1571_brachytherapyTube"/>
<display value="brachytherapytube"/>
<definition
value="Brachytherapy may be temporary or permanent. Temporary brachytherapy
places radioactive material inside a catheter for a specific amount
of time and then it is removed. It is given at a low-dose rate
(LDR) or high-dose rate (HDR). Permanent brachytherapy is also
called seed implantation. It puts radioactive seeds (about the
size of a grain of rice) in or near the tumor permanently. After
several months, the seeds lose their radioactivity."/>
</concept>
<concept>
<code value="RDE1571_chestWallInvasion"/>
<display value="chestwallinvasion"/>
<definition
value="A tumor of the lung that has invaded the chest wall."/>
</concept>
<concept>
<code value="RDE1571_cooperDistorted"/>
<display value="cooperdistorted"/>
<definition
value="Cooper's ligaments support the breasts on the chest wall, maintain
their contour, and keep them in position. Breasts become distorted
if cancerous tumors grow on the ligaments."/>
</concept>
<concept>
<code value="RDE1571_cooperThickened"/>
<display value="cooperthickened"/>
<definition
value="Cooper's ligaments support the breasts on the chest wall, maintain
their contour, and keep them in position. These support breast
tissue; and can become contracted in cancer of breast, producing
dimples in overlying skin. Thickening occurs when there are skin
changes usually associated with the presence of a mass, benign
or malignant, that causes shortening in the Coopers ligaments
due to fibrosis."/>
</concept>
<concept>
<code value="RDE1571_edema"/>
<display value="edema"/>
<definition
value="Edema (swelling of the breasts) may be due to blockage of subdermal
lymphatics by tumor cells or an inflammatory process within the
breast or axilla."/>
</concept>
<concept>
<code value="RDE1571_edemaAdj"/>
<display value="edemaadj"/>
<definition
value="This is swelling of one or both breasts. A mammographic pattern
of skin thickening, increased parenchymal density, and interstitial
marking."/>
</concept>
<concept>
<code value="RDE1571_goldSeed"/>
<display value="goldseed"/>
<definition
value="Tiny, gold seeds, about the size of a grain of rice, that are
put in and/or around a tumor to show exactly where it is in the
body. The tumor can then be directly targeted and be given higher
doses of radiation with less harm to nearby healthy tissue. Also
called gold fiducial marker seeds, gold fiducial markers, and
gold-seed fiducial markers."/>
</concept>
<concept>
<code value="RDE1571_hematoma"/>
<display value="hematoma"/>
<definition
value="A hematoma is a localized bleeding outside of blood vessels, due
to either disease or trauma including injury or surgery and may
involve blood continuing to seep from broken capillaries."/>
</concept>
<concept>
<code value="RDE1571_nippleRetraction"/>
<display value="nippleretraction"/>
<definition
value="Retracted nipples lie flat against the areola. The condition can
be the result of inflammation or scarring of the tissue behind
the nipple, and caused by numerous conditions, not just cancer.
In the case of breast cancer, nipple retraction occurs when the
tumor attacks the duct behind the nipple, pulling it in."/>
</concept>
<concept>
<code value="RDE1571_noChestWallInvasion"/>
<display value="nochestwallinvasion"/>
<definition
value="The mass has not attached itself to the chest wall."/>
</concept>
<concept>
<code value="RDE1571_pectoralisMuscleInvasion"/>
<display value="pectoralismuscleinvasion"/>
<definition
value="Pectoralis muscle invasion is when a tumor has become large enough
to invade into the pectoralis muscle."/>
</concept>
<concept>
<code value="RDE1571_pectoralisMuscleInvolvement"/>
<display value="pectoralismuscleinvolvement"/>
<definition
value="Pectoralis muscle involvement of the tumor has been detected on
the MRI by muscle enhancement with obliteration of the fat plane
between the tumor and the muscle."/>
</concept>
<concept>
<code value="RDE1571_pectoralisMuscleTenting"/>
<display value="pectoralismuscletenting"/>
<definition
value="The tent sign is a term referring to a characteristic appearance
of the posterior edge of the breast parenchyma when a mass (usually
an infiltrating lesion) causes its retraction and forms an inverted
'V' that resembles the tip of a circus tent."/>
</concept>
<concept>
<code value="RDE1571_postSurgicalScar"/>
<display value="postsurgicalscar"/>
<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."/>
</concept>
<concept>
<code value="RDE1571_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."/>
</concept>
<concept>
<code value="RDE1571_skinInvolvement"/>
<display value="skininvolvement"/>
<definition
value="The mass or lesion has attached itself to the skin of the breast.
There are several layers of skin that the mass or lesion can penetrate
and that is what determines the level of skin invasion."/>
</concept>
<concept>
<code value="RDE1571_skinLesion"/>
<display value="skinlesion"/>
<definition
value="A skin lesion is a part of the skin that has an abnormal growth
or appearance compared to the skin around it.In order to diagnose
a skin lesion, a full physical exam is necessary."/>
</concept>
<concept>
<code value="RDE1571_skinRetraction"/>
<display value="skinretraction"/>
<definition
value="Skin retraction (or inversion) or Skin retraction. Breast cancers
that are located near the skin or nipple may cause scarring within
the breast that pulls at the nipple or nearby skin. Skin and nipple
retraction are more obvious when a woman raises her arms above
her head or leans forward."/>
</concept>
<concept>
<code value="RDE1571_skinThickening"/>
<display value="skinthickening"/>
<definition
value="The presence of skin thickening on mammography is variably defined,
usually being more than 2 mm in thickness. It can result from
a number of both benign and malignant causes."/>
</concept>
<concept>
<code value="RDE1571_surgicalClip"/>
<display value="surgicalclip"/>
<definition
value="Most surgical clips are currently made of titanium, and as many
as 30 to 40 clips may be used during a single surgical procedure.
Surgical clips may remain inside the patient's body after the
wounds are healed."/>
</concept>
<concept>
<code value="RDE1571_trabecularThickening"/>
<display value="trabecularthickening"/>
<definition
value="Trabecular thickening-thickening of the Cooper's ligaments and
fibrous stroma-is an imaging finding of breast edema, usually
secondary to dilated lymphatics. Skin thickening and trabecular
thickening often occur together, and they have similar differential
diagnoses."/>
</concept>
<concept>
<code value="RDE1571_calcificationInMass"/>
<display value="calcificationinmass"/>
<definition
value="Calcifications usually can't be felt, but appear on a mammogram.
Depending on how calcifications are clustered; shape, size, and
number, further tests may be necessary. Larger 'macrocalcifications'
are usually not associated with cancer."/>
</concept>
<concept>
<code value="RDE1571_calcificationNotOnMammogram"/>
<display value="calcificationnotonmammogram"/>
<definition
value="Calcifications usually can't be felt, but appear on a mammogram.
Calcifications can be clustered and their shape, size, and number.
Large 'macrocalcifications' are usually not associated with cancer."/>
</concept>
<concept>
<code value="RDE1571_calcificationOnMammogram"/>
<display value="calcificationonmammogram"/>
<definition
value="Calcifications are small deposits of calcium that show up on mammograms
as bright white specks or dots on the soft tissue background of
the breasts. The calcium readily absorbs the X-rays from mammograms"/>
</concept>
<concept>
<code value="RDE1571_calcifications"/>
<display value="calcifications"/>
<definition
value="Calcifications are small deposits of calcium that show up on mammograms
as bright white specks or dots on the soft tissue background of
the breasts."/>
</concept>
<concept>
<code value="RDE1571_microCalcifications"/>
<display value="microcalcifications"/>
<definition
value="Micro-calcifications show up as fine, white specks in a mammogram,
similar to grains of salt; usually noncancerous, but certain patterns
can be an early sign of cancer."/>
</concept>
<concept>
<code value="RDE1571_milkOfCalcium"/>
<display value="milkofcalcium"/>
<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."/>
</concept>
<concept>
<code value="RDE1571_rimCalcifications"/>
<display value="rimcalcifications"/>
<definition
value="These are very thin benign calcifications that appear as calcium
is deposited on the surface of a sphere. Although fat necrosis
can produce these thin deposits, calcifications in the wall of
cysts are the most common 'rim' calcifications."/>
</concept>
</concept>
<concept>
<code value="RDE1576"/>
<display value="Shape"/>
<definition value="RDE1576"/>
<concept>
<code value="RDE1576_irregular"/>
<display value="irregular"/>
<definition value="RDE1576_irregular"/>
</concept>
<concept>
<code value="RDE1576_lobular"/>
<display value="lobular"/>
<definition value="RDE1576_lobular"/>
</concept>
<concept>
<code value="RDE1576_oval"/>
<display value="oval"/>
<definition value="RDE1576_oval"/>
</concept>
<concept>
<code value="RDE1576_round"/>
<display value="round"/>
<definition value="RDE1576_round"/>
</concept>
</concept>
<concept>
<code value="RDE1577"/>
<display value="Type"/>
<definition value="RDE1577"/>
<concept>
<code value="RDE1577_complex"/>
<display value="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."/>
</concept>
<concept>
<code value="RDE1577_complicated"/>
<display value="complicated"/>
<definition
value="Complicated cysts are 'in between' 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."/>
</concept>
<concept>
<code value="RDE1577_micro"/>
<display value="micro"/>
<definition
value="A microcyst Is a sac-like pocket of tissue that contains fluid,
air, or other substances. A Microcyst is small and less than 2-3
mm and are often in clusters and only show up on a mammogram or
ultrasound."/>
</concept>
<concept>
<code value="RDE1577_oil"/>
<display value="oil"/>
<definition
value="Oil cysts are filled with fluid that may feel smooth and soft/squishy.
Oil cysts are caused by the breakdown of fatty tissue."/>
</concept>
<concept>
<code value="RDE1577_simple"/>
<display value="simple"/>
<definition
value="A simple cyst is a sac-like pocket of membranous tissue that only
contains clear fluid."/>
</concept>
<concept>
<code value="RDE1577_withDebris"/>
<display value="withdebris"/>
<definition
value="A cyst that is filled with debris and fluid substance. It Is either
considered a complex or complicated cyst. The type of debris determines
what kind of cyst."/>
</concept>
<concept>
<code value="RDE1577_cyst"/>
<display value="cyst"/>
<definition value="RDE1577_cyst"/>
</concept>
</concept>
<concept>
<code value="RDE1578"/>
<display value="Density"/>
<definition value="RDE1578"/>
<concept>
<code value="RDE1578_equal"/>
<display value="equal"/>
<definition value="RDE1578_equal"/>
</concept>
<concept>
<code value="RDE1578_fatContaining"/>
<display value="fatcontaining"/>
<definition value="RDE1578_fat containing"/>
</concept>
<concept>
<code value="RDE1578_high"/>
<display value="high"/>
<definition value="RDE1578_high"/>
</concept>
<concept>
<code value="RDE1578_low"/>
<display value="low"/>
<definition value="RDE1578_low"/>
</concept>
</concept>
<concept>
<code value="RDE1579"/>
<display value="Margin"/>
<definition value="RDE1579"/>
<concept>
<code value="RDE1579_angular"/>
<display value="angular"/>
<definition
value="Some or all of the margin has sharp corners, often forming acute
angles. The margin of the mass is not circumscribed."/>
</concept>
<concept>
<code value="RDE1579_circumscribed"/>
<display value="circumscribed"/>
<definition
value="A circumscribed margin is one that is well defined, with an abrupt
transition between the lesion and the surrounding tissue. For
US, to describe a mass as circumscribed, its entire margin must
be sharply defined. Most circumscribed lesions have round or oval
shapes."/>
</concept>
<concept>
<code value="RDE1579_indistinct"/>
<display value="indistinct"/>
<definition
value="There is no clear demarcation of the entire margin, or of any
portion of the margin, from the surrounding tissue. For mammography,
this descriptor should not be used when the interpreting physician
believes it is likely due to immediately adjacent breast tissue.
Use of this descriptor usually implies a suspicious finding."/>
</concept>
<concept>
<code value="RDE1579_intraductalExtension"/>
<display value="intraductalextension"/>
<definition
value="Intraductal tumor extension is a characteristic feature of primary
breast carcinoma, and is an important consideration in patients
undergoing breast conservative surgery."/>
</concept>
<concept>
<code value="RDE1579_irregular"/>
<display value="irregular"/>
<definition
value="Edges around the soft tissue that don't look smooth. Indicative
of some sort of growth or mass rather than a cyst."/>
</concept>
<concept>
<code value="RDE1579_lobulated"/>
<display value="lobulated"/>
<definition
value="The edge of the mass has broad bulges. Much like a 6 or 8 leaf
clover. The edge of all of the leaves would be considered lobulated."/>
</concept>
<concept>
<code value="RDE1579_macrolobulated"/>
<display value="macrolobulated"/>
<definition
value="Smooth margin with distinct separation between the mass and the
surrounding border. Macrolobulaed margins are oval-shaped and
have a wide rather than tall formation."/>
</concept>
<concept>
<code value="RDE1579_microlobulated"/>
<display value="microlobulated"/>
<definition
value="The margin is characterized by short-cycle undulations or scalloped
appearance, and the margin of the mass is not circumscribed."/>
</concept>
<concept>
<code value="RDE1579_nonCircumscribed"/>
<display value="noncircumscribed"/>
<definition
value="The mass has one or more of the following features: indistinct,
angular, microlobulated, or spiculated in any portion of the margin
There is not a clear demarcation between the mass and the surrounding
tissue."/>
</concept>
<concept>
<code value="RDE1579_obscured"/>
<display value="obscured"/>
<definition
value="It is hidden by superimposed or adjacent fibroglandular tissue.
This is used primarily when some of the margin of the mass is
circumscribed, but the rest (more than 25%) is hidden."/>
</concept>
<concept>
<code value="RDE1579_smooth"/>
<display value="smooth"/>
<definition
value="The edges of the mass have a smooth appearance and distinct separation
between the mass and surrounding tissue."/>
</concept>
<concept>
<code value="RDE1579_spiculated"/>
<display value="spiculated"/>
<definition
value="The margin is characterized by sharp lines radiating from the
mass, often a sign of malignancy, but the significant feature
is that the margin of the mass is not circumscribed."/>
</concept>
</concept>
<concept>
<code value="RDE1580"/>
<display value="Orientation"/>
<definition value="RDE1580"/>
<concept>
<code value="RDE1580_parallelToSkin"/>
<display value="paralleltoskin"/>
<definition value="RDE1580_parallel to skin"/>
</concept>
<concept>
<code value="RDE1580_perpendicularToSkin"/>
<display value="perpendiculartoskin"/>
<definition value="RDE1580_perpendicular to skin"/>
</concept>
<concept>
<code value="RDE1580_tallerThanWide"/>
<display value="tallerthanwide"/>
<definition value="RDE1580_taller than wide"/>
</concept>
<concept>
<code value="RDE1580_widerThanTall"/>
<display value="widerthantall"/>
<definition value="RDE1580_wider than tall"/>
</concept>
</concept>
<concept>
<code value="RDE1586"/>
<display value="Assessment category"/>
<definition value="RDE1586"/>
<concept>
<code value="RDE1586_category0IncompleteNeedAdditionalImaging"/>
<display value="category0needadditionalimaging"/>
<definition
value="RDE1586_category 0, incomplete - need additional imaging"/>
</concept>
<concept>
<code value="RDE1586_category1Negative"/>
<display value="category1,negative"/>
<definition value="RDE1586_category 1, negative"/>
</concept>
<concept>
<code value="RDE1586_category2BenignFinding"/>
<display value="category2,benignfinding"/>
<definition value="RDE1586_category 2, benign finding"/>
</concept>
<concept>
<code value="RDE1586_category3ProbablyBenignFinding"/>
<display value="category3,probablybenignfinding"/>
<definition value="RDE1586_category 3, probably benign finding"/>
</concept>
<concept>
<code value="RDE1586_category4SuspiciousAbnormality"/>
<display value="category4,suspiciousabnormality"/>
<definition value="RDE1586_category 4, suspicious abnormality"/>
</concept>
<concept>
<code
value="RDE1586_category4ASuspiciousAbnormalityLowLikelihoodOfBeingCancer"/>
<display
value="category4A,suspiciousabnormalitylowlikelihoodofbeingcancer"/>
<definition
value="RDE1586_category 4A, suspicious abnormality - low likelihood of
being cancer"/>
</concept>
<concept>
<code
value="RDE1586_category4BSuspiciousAbnormalityModerateLikelihoodOfBeingCancer"/>
<display
value="category 4B,suspiciousabnormality-moderatelikelihoodofbeingcancer"/>
<definition
value="RDE1586_category 4B, suspicious abnormality - moderate likelihood
of being cancer"/>
</concept>
<concept>
<code
value="RDE1586_category4CSuspiciousAbnormalityHighLikelihoodOfBeingCancer"/>
<display
value="category4C,suspiciousabnormality-highlikelihoodofbeingcancer"/>
<definition
value="RDE1586_category 4C, suspicious abnormality - high likelihood
of being cancer"/>
</concept>
<concept>
<code value="RDE1586_category5HighlySuggestiveOfMalignancy"/>
<display value="category5,highlysuggestiveofmalignancy"/>
<definition
value="RDE1586_category 5, highly suggestive of malignancy"/>
</concept>
<concept>
<code value="RDE1586_category6KnownBiopsyProvenMalignancy"/>
<display value="category6,knownbiopsy-provenmalignancy"/>
<definition
value="RDE1586_category 6, known biopsy - proven malignancy"/>
</concept>
</concept>
<concept>
<code value="RDE1587"/>
<display value="Breast composition category"/>
<definition value="RDE1587"/>
<concept>
<code value="RDE1587_categoryATheBreastsAreAlmostEntirelyFatty"/>
<display value="categorya,thebreastsarealmostentirelyfatty"/>
<definition
value="RDE1587_category a, the breasts are almost entirely fatty"/>
</concept>
<concept>
<code
value="RDE1587_categoryBThereAreScatteredAreasOfFibroglandularDensity"/>
<display
value="categoryb,therearescatteredareasoffibroglandulardensity"/>
<definition
value="RDE1587_category b, there are scattered areas of fibroglandular
density"/>
</concept>
<concept>
<code value="RDE1587_categoryCTheBreastsAreHeterogeneouslyDense"/>
<display value="categoryc,thebreastsareheterogeneouslydense"/>
<definition
value="RDE1587_category c, the breasts are heterogeneously dense"/>
</concept>
<concept>
<code value="RDE1587_categoryDTheBreastsAreExtremelyDense"/>
<display value="categoryd,thebreastsareextremelydense"/>
<definition
value="RDE1587_category d, the breasts are extremely dense"/>
</concept>
</concept>
<concept>
<code value="RDE1588"/>
<display value="Breast laterality"/>
<definition value="RDE1588"/>
<concept>
<code value="RDE1588_right"/>
<display value="right"/>
<definition value="RDE1588_right"/>
</concept>
<concept>
<code value="RDE1588_left"/>
<display value="left"/>
<definition value="RDE1588_left"/>
</concept>
<concept>
<code value="RDE1588_bilateral"/>
<display value="bilateral"/>
<definition value="RDE1588_bilateral"/>
</concept>
</concept>
<concept>
<code value="RDE1589"/>
<display value="Implant presence"/>
<definition value="RDE1589"/>
<concept>
<code value="RDE1589_left"/>
<display value="left"/>
<definition value="RDE1589_left"/>
</concept>
<concept>
<code value="RDE1589_right"/>
<display value="right"/>
<definition value="RDE1589_right"/>
</concept>
<concept>
<code value="RDE1589_bilateral"/>
<display value="bilateral"/>
<definition value="RDE1589_bilateral"/>
</concept>
<concept>
<code value="RDE1589_none"/>
<display value="none"/>
<definition value="RDE1589_none"/>
</concept>
</concept>
<concept>
<code value="RDE1590"/>
<display value="Prior mastectomy"/>
<definition value="RDE1590"/>
<concept>
<code value="RDE1590_right"/>
<display value="right"/>
<definition value="RDE1590_right"/>
</concept>
<concept>
<code value="RDE1590_left"/>
<display value="left"/>
<definition value="RDE1590_left"/>
</concept>
<concept>
<code value="RDE1590_bilateral"/>
<display value="bilateral"/>
<definition value="RDE1590_bilateral"/>
</concept>
<concept>
<code value="RDE1590_none"/>
<display value="none"/>
<definition value="RDE1590_none"/>
</concept>
</concept>
<concept>
<code value="RDE1602"/>
<display value="Type"/>
<definition value="RDE1602"/>
<concept>
<code value="RDE1602_mass"/>
<display value="mass"/>
<definition value="RDE1602_mass"/>
</concept>
<concept>
<code value="RDE1602_intraductal"/>
<display value="intraductal"/>
<definition value="RDE1602_intraductal"/>
</concept>
<concept>
<code value="RDE1602_partiallySolid"/>
<display value="partiallysolid"/>
<definition value="RDE1602_partially solid"/>
</concept>
<concept>
<code value="RDE1602_solid"/>
<display value="solid"/>
<definition value="RDE1602_solid"/>
</concept>
</concept>
</CodeSystem>
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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