Analytical cookies are used to understand how visitors interact with the website. Some masses may require traditional open surgery. American Cancer Society. Our website services, content, and products are for informational purposes only. Your doctor will consider your medical history, physical examination, current symptoms, and all other necessary scans and tests before making an evaluation. Stage 0 means the breast cancer is at a very early stage and has not yet spread. At ultrasonography (US), purely or predominantly echogenic breast masses are rare. Hypoechoic means an area looks darker on ultrasound than the surrounding tissue. Learn more. These terms are used interchangeably. The majority of breast lesions detected by ultrasound are hypoechoic. A breast specialist can learn much by how a breast mass feels. Certain lesions may also require careful monitoring depending on your age and other risk factors for breast cancer. How are breast lesions typicallytreated? Its the dark area in the center, and its edges are very hard to define. In all cases of lesions other than those which are absolutely benign, real time review by the radiologist is mandatory. Abstract. : A Pictorial Essay. (2011). Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. 2. 3. Since it is a circumscribed mass surgical removal should not be a problem. All rights reserved. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Scattered fibroglandular tissue refers to the density and composition of your breasts. You might feel an unusual lump or bump during a monthly breast self-examination. A solid growth of healthy cells, called a fibroadenoma, is noncancerous and common in younger women. Examples of benign breast conditions include: While most cases of benign breast lesions do not become cancerous, sclerosing adenosis carries up to two times the risk of future malignancy. The diagnostic accuracy of hypoechoic solid masses was significantly higher than those of the . People with later stage breast cancers may need more treatment than those whose cancer is at an early stage. [ 3] Gynecomastia and invasive ductal carcinoma (IDC) are classified as the usual male breast masses; other circumstances can then be considered unusual lesions. However, hard cysts have a higher chance of being malignant than cysts filled with fluid. Almost 25 percent of hypoechoic masses in the kidneys are benign (noncancerous) or indolent (grows slowly) cancer, such as: The most common malignant tumor in the kidney is renal cell carcinoma. Self-exams each month may be helpful in identifying the lumps, but an exam done by a healthcare provider is needed to find out for sure what's going on in your breast. Benign Breast Changes That Mimic Breast Cancer. Ultrasound is an important medical tool that helps doctors detect abnormalities and determine what should be done next. 2005-2023 Healthline Media a Red Ventures Company. (2006) ISBN:0781762677. Well show you breast cancer pictures to help you identify any physical traits of the condition. Things that bounce back some strong echos, show-up BRIGHT on the ultrasound. A doctor or nurse may also discover a breast lesion during a physical exam. These cancers typically grow more slowly. In some cases, an ultrasound scan may be the first exam to check organs and tissues. Notice an unusual lump? This article looks at treatment, life expectancy, Papillary breast cancer is a rare form of breast cancer that is characterized by long, thin tumors similar to finger-shaped growths. Solid masses of dense tissue are hypoechoic. This test allows quick visualization of the breast tissue. Uterus. Solid benign masses usually: A breast magnetic resonance imaging (MRI) scan can sometimes provide a clearer, more precise view than a mammogram to determine if a mass is cancerous or benign. American Cancer Society. I love tablesbut only if they are full of food. as an oval shape with a thin, consistent capsule. {"url":"/signup-modal-props.json?lang=us"}, Gaillard F, Al Kabbani A, Jones J, et al. Other scans are commonly used to check for tumors in these areas. Surgery may be the best option to remove larger hypoechoic masses. Here is an overview of each breast cancer stage: When recommending treatment options for breast cancer, a doctor will take into account: Early detection and diagnosis of breast cancer can significantly improve a persons outlook. Learn what causes breast fat necrosis and how it differs from breast cancer. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Thank you, {{form.email}}, for signing up. Medical test results can be hard to understand. Although breast changes during the course of a woman's life cycle are normal, it can be worrying to find a lump and have to wait to find out if it means cancer. Solid mass: Have your doctor show you the image that confirmed the above mass. . Cardiovascular health: Insomnia linked to greater risk of heart attack. The 6 Best At-Home Hormone Test Providers in 2023, less echogenic (absorbs more ultrasound waves), more echogenic (reflects more ultrasound waves), appears gray or darker than surrounding tissue, appears lighter or brighter than surrounding tissue, made up of muscle or fibrous connective tissue, a fuzzy or irregular outline rather than smooth, an angular shape rather than rounded or oval, being deeper or taller than they are wide, having both hypoechoic and hyperechoic lines radiating from its surface. Learn how to tell the difference between a cyst and a tumor, as well as the cancer risk associated with each. Doctors may use additional scans, tests, and exams to diagnose a person with metastatic breast cancer. The rise in signal intensity is slow, meaning the image becomes bright very slowly and it doesn't wash out. Often, there are extra nuclei rather than just one center. Malays J Pathol. However, you may visit "Cookie Settings" to provide a controlled consent. It is a report that the abnormality is steady, too. They typically have clearly defined borders. Fibroadenomas are common in young women and may sometimes disappear by themselves, so they are usually only removed if they are large or increasing in size. 1995;196 (1): 123-34. Stage 4 refers to late stage breast cancer, which means it has spread to other parts of the body. 47 In almost all cases, biopsy to exclude malignancy . But violence also can show as isoechoic hyperechoic lesions on or breast ultrasound, so it is not a rigid rule in any way. Sometimes a breast lesion may cause pain, along with skin changes and nipple discharge. In this article, we discuss what a breast lesion is, what causes them to develop, and whether a noncancerous lesion is at risk of becoming cancerous. They're also not likely to be painful, though they can be in some cases. 1999;213 (3): 889-94. Subsequent biopsy . Breast ultrasound. Ultrasound can help tell the difference between fluid-filled cysts, which aren't likely to be cancerous, and hard cysts that need further testing. capillary angioma of the breast. According to the BI-RADS lexicon [], a hyperechoic lesion is defined by an echogenicity greater than that of subcutaneous fat or equal to that of fibroglandular parenchyma.Only 1-6% of breast masses are hyperechoic and the great majority of them are benign. (2010). 60-year-old female with history of prophylactic mastectomy and autologous flap reconstruction 14 years prior now presents with a palpable right breast mass. When this contrast "lights up" a region on the image, the region is said to be enhanced. Scientists dont know for sure why this is true. How to Reduce Your Risk of Breast Cancer: 10 Lifestyle Recommendations, a wait-and-see approach, especially in younger females, aspiration to remove fluids inside the lesion, surgical removal in older females, or if diagnostic testing reveals possible signs of cancer, or the results are inconclusive. Baek SE, Kim MJ, Kim EK, Youk JH, Lee HJ, Son EJ. Finding breast. Some of the features that show as a hypoechoic mass on ultrasound that are indicative of a malignant breast mass include: or a duct extension. Children and adults can develop this tumor. All ten cases were excluded. Begin typing your search term above and press enter to search. These type of nodules are usually solid rather than a fluid-filled lesion. This includes surgery, radiation therapy, chemotherapy, and other cancer treatments. The cookie is used to store the user consent for the cookies in the category "Other. Read about types of biopsies, preparation, recovery, costs, and what the results mean. Ultrasound operators use special techniques to tell the difference between benign and malignant breast masses. Contact, Privacy, Terms. How is sonomammography used to diagnose breast cancer? You may perceive a lump as a mass, growth, swelling, thickness or fullness. 2014;203(5):1142-1153. doi:10.2214/ajr.14.12725. Many women with fibroids have no symptoms. If you have a hypoechoic mass, your doctor may recommend other tests to learn more about it, including: Scans show features which may indicate a cancerous mass, such as: Breast cancer is the second leading cause of cancer-related death in women. Healthcare professionals describe breast cancer with higher than normal levels of HER2 as being HER2-positive. T1: The tumor is 2 cm or less in diameter. On a mammogram, benign tumors often appear round or oval (ellipsoid) with clear, well-defined edges. Pathology demonstrated DCIS. Nimer A, et al. It is an imaging technique that is used to examine and screen for cancer or/and other breast abnormalities. Leung A, et al. A hypoechoic nodule in the breast. The overall 5-year relative survival rate for breast cancer is 90%. We avoid using tertiary references. Micro lobulations, channel extension, and a posterior acoustic shadowing were . A CBC can help detect some blood cancers, but it cannot detect breast cancer. They also may look quite different, depending on the tumor's growth and grade. In some cases, no treatment may be necessary, and your doctor may recommend monitoring the lesion over time. In fact, its estimated that at least 20 percent of females may develop breast lesions, though males may also be affected. Three cases had phyllodes tumors and two cases had ductal carcinoma in situ (DCIS). 2a & b).Ultrasonography demonstrated a mixed echo nodule with an echogenic rim (Fig. Male breast hosts various pathological conditions just like "female breast." However, histo-anatomical diversities with female breast lead to many differences regarding the frequency and presentation of diseases, the radiologic appearance of lesions, the diagnostic algorithm, and malignity features. 2 C and D).Constellation of ultrasound findings suggested a papillary lesion. DOI: 10.4103/0973-6042.76960, Kim YR, et al. Ultrasound uses sound waves that are absorbed by or bounce off of tissues, organs, and muscles. Despite the benign ultrasound appearance, this was a new finding on mammography and ultrasound guided biopsy was performed. However, at sonography, only 0.6 to 5.6% of breast masses are echogenic and the majority of these lesions are benign. Cancer cells differ from normal cells in many ways. Masses that affect organs, blood vessels, and nerves are commonly removed. The examination is often done along with mammography (x-ray of breast tissue) to study a mass or lump. About 40 percent of women have this type of breast tissue. This cookie is set by GDPR Cookie Consent plugin. Hypoechoic. Our website services, content, and products are for informational purposes only. Can diet help improve depression symptoms? 4 Should I get an ultrasound if I have dense breasts? The hypoechoic mass Solid breast nodule or lump. If youre under the age of 50 and are considered at higher risk, talk with a doctor about when and how often you should undergo screening. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. What to know about biopsies for breast cancer, What to know about metastatic breast cancer to the brain, What to know about papillary breast cancer. February 2023; Medicine 102(8):e33084 Best food forward: Are algae the future of sustainable nutrition? American Cancer Society. Last medically reviewed on June 27, 2022, Multifocal breast cancer is where a person has more than one tumor in one area of their breast. Ultrasound helps doctors find the ones that might be. These lesions were once assumed to be benign, but recent data suggest that approximately 0.5% of malignant breast lesions appear echogenic. However, a healthcare provider should evaluate and diagnose any changes that cause you concern. Dtsch Arztebl Int. They bounce back and create an image that can be seen on a screen. According to the ACS, the 5-year relative survival rate for localized breast cancer is 99%. Lesions occur due to any disease or injury. Under the microscope, breast cancer cells may appear similar to normal breast cells. This is probably related to the patient's previous mastitis. Learn more here. Doctors dont like to do mammograms first, in really young women, because of radiation. Doctors grade cancer cells according to how similar they appear to noncancerous cells under a microscope. T3: The tumor is larger than 5 cm in width. Pancreatic and peripancreatic tuberculosis presenting as hypoechoic mass and malignancy diagnosed by ultrasound-guided fine-needle aspiration cytology. Radiology. M1 means that breast cancer has spread to other organs. American Cancer Society. (2016). Beyond a physical exam, they may use mammograms, MRIs, and ultrasound to help with the diagnosis. Different types of breast lumps can vary in the way they look and feel. In some cases, a benign mass may become cancerous, or rupture and cause bleeding inside the body. Is the ketogenic diet right for autoimmune conditions? On an MRI, benign breast masses often have smooth borders or are lobulated. Moffitt Cancer Center. Sometimes noncancerous breast lesions may cause pain, changes in tissues, and nipple discharge. A hypoechoic lesion is one that reflects less ultrasonic waves than would normally be expected. The cells may be arranged in clusters. Fibroids are solid masses that are normally made up of fibrous connective tissue and smooth muscle. Fibroids are not cancerous, but they can cause severe symptoms. Ultrasound demonstrates an oval hypoechoic wider-than-tall mass. I have a lobular hypoechoic mass present at the site of a palpable mass ( 6 o'clock 2cm from the nipple) having a maximum diameter of .86 cm. Can cancerous breast tumors be prevented? 2 A and B).A prior ultrasound from an outside facility performed 7 years earlier had shown this mass to be larger and predominantly cystic (Figs. On the other hand, benign breast changes sometimes look like cancer. A breast specialist can learn much by how a breast mass feels. Breast calcifications are identified by a mammogram and may indicate breast cancer. Breast Lesions: A hypoechoic breast lesion might be a common, benign tumor called a fibroadenoma, or a breast cyst. Larger tumors tend to indicate later stage breast cancer, which may be more difficult to treat. And while most of these conditions arent life threatening, some are linked with a higher risk of developing breast cancer. A hypoechoic mass is tissue in the body thats more dense or solid than usual. An early diagnosis is the best way to have a good outcome. The appearance, or differentiation, of cancer cells is another factor in cancer staging. These masses differ in a number of ways: A hypoechoic mass can form anywhere in the body. We also cover other factors that contribute to staging, treatment, and a persons outlook. DOI: Halls S. (2018). Can a Benign Breast Lump Become Cancerous? 1-2 Assessment of masses on ultrasound is guided by the Breast Imaging Reporting and Data System (BI-RADS) and evaluation includes shape, margin, orientation, echotexture, posterior acoustic changes and . Oncology Letters. Smooth surface is good, irregular is bad. It was a 10 10 8 mm, irregular, indistinct and heterogeneous hypoechoic mass, which had no posterior shadowing. Sometimes breast lumps develop that are benign (noncancerous). Possible signs of malignancy may include irregular shape or margins, which are typically highlighted on imaging tests. Ultrasound studies of a Hypoechoic Mass examine margins, shape and echogenicity. Cancerous and benign masses may appear similar on a mammogram. Cancerous masses in the breast are often very firm, like a rock. The tumors that grow from these types of breast cancer are reflected in their names: invasive ductal carcinoma and invasive lobular carcinoma. CT NCAP (neck, chest, abdomen and pelvis), left ventricular systolic and diastolic function, ultrasound-guided musculoskeletal interventions, gluteus minimus/medius tendon calcific tendinopathy barbotage, lateral cutaneous femoral nerve of the thigh injection, common peroneal (fibular) nerve injection, metatarsophalangeal joint (MTPJ) injection. The longest diameter of this lesion is 1.8 cm, with a calculated volume of 0.53 mL. You can't really move them around by pushing on them. T refers to the size of the main, or primary, tumor. Some lifestyle choices can make a big difference when it comes to your mental and physical well-being. Symptoms and diagnosis of phyllodes tumors of the breast. Ultrasound is often used to screen for breast cancer or to examine breast lumps in younger women or after finding an abnormality on a screening mammogram. You scraped your knee, the doctor says, does that skin lesion hurt? These areas bounce back many sound waves. Read more for our picks and how to choose the best test for. Reference article, Radiopaedia.org (Accessed on 04 Mar 2023) https://doi.org/10.53347/rID-1014. Benign breast lesions that mimic cancer: Determining radiologic-pathologic concordance. Necessary cookies are absolutely essential for the website to function properly. What is the formula for calculating solute potential? Atlas of mammography. This growth can be a hypoechoic mass. This term is used to describe what is seen on an ultrasound scan. If you find a lump, contact your healthcare provider right away. (A) Left radial breast sonogram. Females 50 to 74 years old should have a mammogram every 2 years. Centers for Disease Control and Prevention (CDC). Breast Calcifications on Your Mammogram: What to Know. Is it better to have fatty or dense breasts? The echo texture and echogenicity, and the effects on distal echoes. It is difficult to comment more specifically on the significance of 'hypoechoic' without . Radiofrequency ablation is another less invasive procedure that shrinks masses with electrical currents. A 2000 study found no association of caffeine to breast density. Breast masses have distinct qualities when viewed by using mammogram, MRI, or other imaging techniques. You may require pain management, as well as antibiotics to reduce the risk of infection after some procedures. Other ultrasound findings that suggest breast cancer include: A breast biopsy may be needed on the basis of these other findings. Hypoechoic masses that are benign dont normally grow back once theyre removed. Breast changes are common. Objective The purpose of this study was to determine clinical and ultrasonographic characteristics of male breast tumors. A malignant (cancerous) tumor can spread and invade other parts of the body. At the time the article was created Frank Gaillard had no recorded disclosures. Treatment for breast lesions depends on your age, the size of the lesion, and whether the tissue is changing. One tissue type may have a different echogenicity than another. Ultrasound results can mean different things depending upon which part of the body is being tested. Cancerous masses on MRI differ both in how they look and the length of time they appear (kinetics). 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. What does heterogeneous hypoechoic nodule mean? Doctors test for HER2 status by taking a sample of the cancer and sending it to a laboratory for analysis. In this instance, it will . Sometimes biopsies are necessary. A total of 112 men (125 breast masses) with preoperative breast ultrasonography (US) were . Treatment for a hypoechoic mass depends on the type, size, location, and symptoms. On ultrasound papillary . Immediately inform your doctor if you have any signs or symptoms, such as: See your doctor if you feel or see anything out of the ordinary. (2015). 1. These rounded lesions are the result of accelerated cell . Last medically reviewed on June 25, 2018. DOI: 10.4103/0970-9371.112658, Wilde S, et al. Surgery may be the best option to remove larger hypoechoic masses. Getting recommended breast cancer screenings can help spot any cancers at an early, more treatable stage. Nipple wart (n = 2, 15%): Two patients showed a unilateral soft exogenous neoplasm. The lungs are also difficult to view with an ultrasound because theyre air-filled. Hypoechoic breast lesions suspicious for malignancy and ultrasound imaging on them will tend to look darker than the surrounding isoechoic fat. Healthline Media does not provide medical advice, diagnosis, or treatment. infections, trauma, and inflammatory conditions, 25 percent of hypoechoic masses in the kidneys, upmc.com/Services/liver-cancer/conditions/Pages/benign-liver-masses.aspx, radiologyassistant.nl/en/p460f9fcd50637/solitary-pulmonary-nodule-benign-versus-malignant.html, appliedradiology.com/articles/benign-breast-lesions-that-mimic-cancer-determining-radiologic-pathologic-concordance, veterinaryradiology.net/4161/what-do-hyperechoic-and-hypoechoic-mean/. Cancerous breast tumors cannot be completely prevented, but maintaining a healthy lifestyle can lower your risk. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.cancer.org/cancer/breast-cancer.html, https://www.cancer.org/cancer/breast-cancer/understanding-a-breast-cancer-diagnosis/stages-of-breast-cancer.html, https://www.breastcancer.org/pathology-report. (2015). Article. 2019 Aug 9;116(33-34):565-574. doi:10.3238/arztebl.2019.0565. It has irregular borders, and may appear spiculated. While a doctor will certainly want to rule out cancer, the good news is that most breast lesions are noncancerous (benign), especially in females under the age of 35. However, these figures are only estimates, and experts based them on data from 20102017. MR imaging can be used to identify pectoralis muscle or chest wall invasion (Fig. All rights reserved. A change may show up as hypoechoic or hyperechoic. Its important to report any changes in your breasts to a doctor to determine whether you require any additional screenings or treatments. DOI: 10.3348/kjr.2015.16.6.1266. If a doctor suspects the lesion may be malignant, a core needle biopsy may be used instead. No, a benign breast tumor cannot become malignant. Figure 2b. a Transverse greyscale ultrasound of the neck demonstrates a left thyroid bed heterogeneous, predominantly hypoechoic irregular lesion with calcifications (white arrow). What to know about multifocal breast cancer. They show up as hypoechoic masses on an ultrasound. 3 Are hypoechoic breast nodules cancerous? Ultrasound works by sending sound waves toward the object being tested. Additionally, its important to follow your doctors recommendations for breast cancer screenings. The surrounding tissue therefore looks brighter/lighter shades of grey. A hypoechoic nodule refers to a dark lesion seen on ultrasound. If a doctor suspects that a thyroid nodule may . DOI: Gerst S, et al. Some of these diseases such as inflammation and trauma-related breast lesions could be suspected from a patient's symptoms and personal history. The nipples and skin may look different around them. Stachs A, Stubert J, Reimer T, Hartmann S. Benign breast disease in women. Unlike other breast cancer types, lobular breast cancer doesn't form lumps in your breast tissue or under your arm. Instead, you may see redness, swelling, and sometimes a rash on the skin of the breast. They may contain air, fat, or fluid. An abdominal lump is a swelling or bulge that emerges from any area of the abdomen. How do I choose between my boyfriend and my best friend? mL). These are also called echoes. Its not a measurement or a diagnosis. But opting out of some of these cookies may affect your browsing experience. . On exam, other changes may be present as well. Researchers estimate that about 60 percent of all breast lesion biopsies are benign. The mass has a well-circumscribed margin and oval shape, as well as a parallel, wider-than-tall orientation. What is a hypoechoic lesion in the breast? MX means that the doctor was unable to assess metastasis. Radiological appearances of uterine fibroids. If you detect any lumps, pain, or other changes in your breasts, its important to talk with a doctor right away. Radiology. Whats the Difference Between Cysts and Tumors? Doru Paul, MD, is triple board-certified in medical oncology, hematology, and internal medicine. BI-RADS 3 is an evolving assessment category. B, Ultrasound of this mass shows the typical appearance of a fibroadenoma (a solid hypoechoic oval mass). After assessing the different characteristics of the breast cancer, doctors use the information to determine its overall stage from 04. Breast cancer patients who have dense breasts are not more likely to die from breast cancer than patients with non-dense (fatty) breasts. A doctor may discover a breast lesion during an imaging test, such as a routine mammogram, or an ultrasound that was initially ordered for another reason. 7 How is sonomammography used to diagnose breast cancer? The edges of the mass also may appear fuzzy or indistinct. Possible causes and risk factors for breast lesions may include: You may also be more likely to experience swollen or lumpy feeling breast during the premenstrual phase of your monthly cycle. The 5-year relative survival rate is 86% for individuals with breast cancer that has spread into neighboring tissues, and 29% for those whose cancer has spread to other organs. Myofibroblastoma of the breast. Thats a birads 5 cancer which I would core-needle biopsy. Hypoechoic nodule or solid lesion in a breast Hypoechoic means an area looks darker on ultrasound than the surrounding tissue. This appears on an ultrasound scan as a hypoechoic mass with smooth edges. According to the BI-RADS lexicon [1], a hyperechoic lesion is defined by an echogenicity greater than that of subcutaneous fat or equal to that of fibroglandular parenchyma. The benign lumps sometimes resolve on their own. Solid breast nodules: use of sonography to distinguish between benign and malignant lesions. breast angiomas 1. breast hemangioma: can contain hyperechoic components. Papillary breast lesions are rare breast tumors that comprise a broad spectrum of diseases. Usually, special genetic studies are done as well. It doesnt always mean that something is wrong. Because early . A doctor may recommend a biopsy to investigate a breast lump. You can learn more about how we ensure our content is accurate and current by reading our. An echogenic mass that is . Doctors measure the size of the primary breast cancer tumor at its widest point. Learn how we can help. it does show some enhanced through sound transmissionbut, given that it is palpable, tender,and lobular, its biopsy is warranted conclusion :suspicious. They're often easy to move around (mobile) and may be tender. Irregular hypoechoic masses in the breast do not always indicate malignancies. They can occur in a healthy liver and may not cause symptoms. Masses can be hypoechoic, hyperechoic, anechoic, or mixed.. Fibrocystic Breast vs. Cancer: What Are the Differences? A hypoechoic breast mass may be benign, as in the case of a non-cancerous tumor called a fibroadenoma. That usually means cancer. Learn about symptoms, risk factors, treatment, and more. It acts like a flashlight beam that shows shapes and shadows inside the body. However, some findings are more common in one than the other. They also may be seen invading blood vessels or lymphatic vessels. There is a complex Hypoechoic lesion in the right breas at 9 o'clock measuring 7x6x11 mm in greatest dimension. This term means "without echoes." That's also true for an open biopsy done by making a cut through the skin to remove the sample. A hypoechoic mass may be a tumor or abnormal growth. (2013). They may order additional diagnostic exams, such as imaging tests, to help determine whether the lesion is cancerous (malignant), and if treatment is required. A breast lesion refers to an area of abnormal breast tissue. Can a Benign Breast Lump Become Cancerous? Ultrasound is helpful in the evaluation of breast masses that are palpable or present as a mammographic abnormality [1, 2].The echo pattern of breast lesions is categorized as anechoic, hypoechoic, isoechoic, or hyperechoic with reference to the subcutaneous fat in the American College of Radiology (ACR) BI-RADS [].The echogenicity of fat in the breast is at the middle of the gray-scale spectrum.