Malignant hyperechoic breast lesions at ultrasound: A pictorial essay

S. Tiang, C. Metcalf, D. Dissanayake, Liz Wylie

    Research output: Contribution to journalArticlepeer-review

    3 Citations (Scopus)


    © 2016 The Royal Australian and New Zealand College of RadiologistsMalignant breast lesions are typically hypoechoic at sonography. However, a small subgroup of hyperechoic malignant breast lesions is encountered in clinical practice. We present a pictorial essay of a number of different hyperechoic breast malignancies with mammographic, sonographic and histopathologic correlation. Suspicious sonographic features in a hyperechoic lesion include inhomogeneity in echogenic pattern, an irregular margin, posterior acoustic shadowing and internal vascularity. A hyperechoic lesion at ultrasound does not discount the need to undertake histological assessment of a mammographically suspicious lesion.
    Original languageEnglish
    Pages (from-to)506-513
    JournalJournal of Medical Imaging and Radiation Oncology
    Issue number4
    Publication statusPublished - 2016


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