American Board of Surgery Qualifying Exam (ABS QE) Practice Test

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What does a BIRADS 3 classification imply?

Negative; mammogram in 1 year

Probably benign; short-term follow-up suggested

The BIRADS (Breast Imaging Reporting and Data System) classification is a system used by radiologists to categorize breast findings on a mammogram, ultrasound, or MRI, aiding in determining the need for further evaluation. A BIRADS 3 classification specifically indicates that the findings are probably benign. This means that there is a likelihood of less than 2% risk of breast cancer associated with the finding.

Given this low risk, the recommendation is generally for short-term follow-up rather than immediate intervention. Typically, this involves scheduling a follow-up mammogram within 6 months to 1 year, where the imaging can be reassessed for any changes. If the follow-up results are stable, it reinforces that the finding is benign, while any significant changes may prompt further investigation.

This classification is crucial as it avoids unnecessary aggressive procedures while ensuring ongoing monitoring for any changes that might warrant further action. Understanding this context helps medical professionals and patients make informed decisions regarding breast health and management plans, enhancing overall care.

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Suspicious abnormality; biopsy should be considered

Highly suggestive of malignancy

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