BIRADS

Question 1

Incomplete assessment

Answer 1

BI-RADS 0, Findings

Question 2

Need of additional imaging or prior exams

Answer 2

BI-RADS 0, Further management

Question 3

Negative

Answer 3

BI-RADS 1, Findings

Question 4

Routine Screening

Answer 4

BI-RADS 1, Further management
BI-RADS 2. Further management

Question 5

Benign

Answer 5

BI-RADS 2, Findings

Question 6

Probably benign - risk of malignancy is lower than 2%

Answer 6

BI-RADS 3, Findings

Question 7

UTS imaging is necessary or a control mammography imaging and examination within 6 months

Answer 7

BI-RADS 3, Further management

Question 8

Suspicious - risk of malignancy is 2-94%

Answer 8

BI-RADS 4, Findings

Question 9

Further cytology of pathohistology investigation is necessary

Answer 9

BI-RADS 4, Further management

Question 10

Highly suspicious - risk of malignancy is higher than 94%

Answer 10

BI-RADS 5, Findings

Question 11

Referral to a surgeon is necessary

Answer 11

BI-RADS 5, Further management

Question 12

Additional imaging evaluation and/ or comparison to prior mammograms (or other imaging tests) is needed

Answer 12

BI-RADS 0 (Incomplete)

Question 13

Radiologist may have seen a possible abnormality, but it was not clear and you will need more tests, such as another mammogram with the use of a spot compression, magnified views, special mammogram views, and/or UTS

Answer 13

BI-RADS 0 (Incomplete)

Question 14

Applying compression to a smaller area when doing the mammogram

Answer 14

Spot compression, BI-RADS 0

Question 15

May also suggest that the radiologist wants to compare your new mammogram with older ones to see if there gave been changes in the area over time

Answer 15

BI-RADS 0 (Incomplete)

Question 16

Normal test result

Answer 16

BI-RADS 1 (Negative)

Question 17

Breast looks the same (symmetrical) with no masses (lumps), distorted structures, or suspicious calcifications

Answer 17

BI-RADS 1 (Negative)

Question 18

Means nothing new or abnormal was found

Answer 18

BI-RADS 1 (Negative)

Question 19

Negative test result (no sign of Ca), but the radiologist chooses to describe a finding that is not a a Ca, such as benign calcifications, masses, or lymph nodes in the breast

Answer 19

BI-RADS 2 Benign (Non-cancerous) Finding

Question 20

Can be used to describe changes from a prior procedure (such as a biopsy) in the breast

Answer 20

BI-RADS 2 Benign (Non-cancerous) Finding

Question 21

Ensures that others who look at the mammogram in the future will nor misinterpret the benign finding as suspicious

Answer 21

BI-RADS 2 Benign (Non-cancerous) Finding

Question 22

Follow-up in a short time frame is suggested

Answer 22

BI-RADS 3 (Probably Benign)

Question 23

A finding in this category has a very low (no more than 2%) chance of being Ca. It is not expected to change over time. But since it’s not proven to be benign, it’s helpful to be extra safe and see if the area in question does change over time

Answer 23

BI-RADS 3 (Probably Benign)

Question 24

Likely need follow-up with repeat imaging in 6-12 months and regularly after that until the finding is known to be stable (usually at least 2 years). This approach helps avoid unnecessary biopsies, but if the area does change over time, it still allows for early dx

Answer 24

BI-RADS 3 (Probably Benign)

Question 25

Biopsy should be considered

Answer 25

BI-RADS 4 (Suspicious abnormality)

Question 26

These findings do not definitely look like Ca but could be Ca

Answer 26

BI-RADS 4 (Suspicious abnormality)

Question 27

Radiologist is concerned enough to recommend a biopsy

Answer 27

BI-RADS 4 (Suspicious abnormality)

Question 28

Findings can have a wide range of suspicion levels.

Answer 28

BI-RADS 4 (Suspicious abnormality)

Question 29

Why is BI-RADS 4 (Suspicious abnormality) divided further?

Answer 29

Because it can have a wide range of suspicion levels

Question 30

BI-RADS 4 (Suspicious abnormality) Further divisions + Descriptions

Answer 30

4A: Finding with low likelihood of being Ca ---

Question 31

Appropriate action should be taken

Answer 31

BI-RADS 5 (Highly suggestive of malignancy)

Question 32

The finding look like Ca and have a high chance (at least 95%) of being Ca

Answer 32

BI-RADS 5 (Highly suggestive of malignancy)

Question 33

Biopsy is very strongly recommended

Answer 33

BI-RADS 5 (Highly suggestive of malignancy)

Question 34

Appropriate action should be taken

Answer 34

BI-RADS 6 (Known Biopsy-Proven Malignancy)

Question 35

Only used for findings on a mammogram (or UTS/MRI) that have already been shown to be Ca by a previous biopsy

Answer 35

BI-RADS 6 (Known Biopsy-Proven Malignancy)

Question 36

Imaging may be used in this way to see how well the Ca is responding to treatment

Answer 36

BI-RADS 6 (Known Biopsy-Proven Malignancy)