Anglické fráze pro radiology - mamodiagnostiky Obecné konverzačni fráze Come in, please….pojďte dále... Can I confirm your name and date of birth, please?...mohu zkontrolovat vaše jméno a datum narození? Take off ( put on) your clothes, please….svlékněte se (oblékněte se)… I will perform the MMG (USG) examination now….provedeme nyní vyšetření.. Would you like to lay down on the bed, please?...můžete se položit na lůžko, prosím? Can you put your arms up above your head (down), please?.. dejte si paže nad hlavu (dolů), prosim? Can you turn yourself towards to me (away from me)?..otočte se na bok čelem ke mne, (ode mne)… Please, try to relax…prosím, uvolněte se.. I will be doing ultrasound examination now…provedu nyní USG vyšetřeni… I need to put some gelly on your breast to perform the examination …použiji gel na vyšetření vašich prsů… We need to stick a needle into your breast to get some tissue samples of the lesion…potřebujeme provést odběr jehlou z vaseho prsu k získáni vzorku tkáně… … I will give you some local anaesthesia…dám vám lokální anestezii.. Do you agree if I perform a biopsy?.. souhlasíte s provedením biopsie? Can you sign this Consent form for me…můžete mi podepsat souhlas k biopsii?.. No complications usually occurred during biopsy… obvykle se během biopsie nevyskytují žádne komplikace.. You can clean yourself now…můžete se nyni utřít.. We have to perform both, mammography and the ultrasound examinations… provedeme obě vyšetření, MMG i USG… Can you come closer the the mammography unit?...pojďte blíže k MMG přístroji.. I need to manipulate with you little bit…budu s vámi trochu manipulovat…
Can you rotate face to the machine (right side, left side)..můžete se otočit čelem (pravou, levou stranou)… Can you lift your arm and put it on this holder?...prosim, položte si paži na madlo.. Try to relax, please… snažte se uvolnit, prosim… Nálezy normální Normal, mostly fatty breast tissue. ( predominantly fatty breast)..tukovy prs Normal glandular breast tissue…žlazový prs… No focal lesions (abnormalities)…bez ložiskových změn.. Age related breast tissue…věku přiměřená struktura… No signs of malignancy – bez známek malignity
Nálezy benigní Benign change…benigní změna... Benign solid (cystic) lesion ( cyst, FA)…benigní solidní (cystická) léze (cysta, FA) Benign lumpy (nodular) breast tissue...žlazový (multinodulární prs)… Benign lymph node with hypoechogenic rim less than 3 mm…normální uzlina s hypoechogennim lemem pod 3 mm… Nálezy maligní Spiculated, ill-defined lesion (mass, density, dense lesion) Nipple retraction…retrakce bradavky…. Skin thickening…ztluštění kůže (infiltration, hardening - zatvrdnutí, dimpling prohlubeň)… Extensive infiltration of the surrounding tissue …rozsáhlá infiltrace okolní tkáně..
Obecná terminologie Lesion (oval, circular, lobulated, partly sharply outlined, well-defined… dobře ohranicená, ill-defined (poorly defined)- neostře, špatně ohraničená, low density, radiopaque, smooth - hladká, hallo sign) Extensive….rozsáhle Filling the lobe ….vyplňujicí lalok Newly arising….nově vzniklá Nipple discharge….sekrece z bradavky (bloody, greenish, yellowish, chocolade like) Microkalcifikace No associated microcalcifications – bez mikrokalcifikací. Dotted (coarse, dystrophic) microcalc…teckovité (hrubé, dystrofické) Teacup calc….šálky na čaj Powderish (tiny, homogeneous, spherical)….práškovité (jemné, homogenni, sferické) Eggshell-like – skořápkovité Casting type (irregular in shape, density and size and follow the coarse of the ducts and branches)……odlitkový typ (nepravidelného tvaru, density a velikosti, sledují průběh duktů a větví).. Amorphous, fragmented…amorfní, sférické Clustered (granular, elongated)…shluklé (granulární, protažené) Variable…různorodé
Příklady nálezů Bilaterally Mammography Normal partialy involuted breast tissue bilaterally seen. No focal abnormality. No signs of malignancy. The area described clinically at the upper inner quadrant of the left breast shows normal breast tissues. Normal mostly fatty breast with no signs of malignancy. No change compared to previous film from. No signs of recurrence. There are post operative changes on the left side due to previous WLE (wide local excision). No signs of recurrence. Normal, mostly fatty breast tissues. No dominant suspicion lesions. No signs of malignancy. There are mild post operative changes due to previous surgery on the right breast seen. Moderately dense breast bilaterally. No signs of malignancy. Bilateral MMG and Ultrasound Glandular breast tissue with delayed involution is noted on both sides. No focal abnormality. No evidence of malignancy. The palpable thickening corresponds to glandular breast tissue. There are few benign calcifications on both sides seen. No significant axillary lymphadenopathy. Breast Ultrasound Normal, glandular breast tissue bilaterally seen. No focal abnormalities. No signs of malignancy. There are normal non-malignant lymph node within both axillas with hypoechogenic rim less than 3 mms. Right (Left) breast US
The palpable lump at the upper inner quadrant of the right breast corresponds to benign-like lesion, 1cm in size, which appearance of FA. No other abnormalities.
Mammography (after BCT) Comparison is made with the previous film from …No change. Previous segmental mastectomy on the right side with post operative changes. No signs of recurrence. Left Mammogram Normal mostly fatty breast with no signs of malignancy. No change compared to previous film…. No signs of recurrence. Pozn. Segmental mastectomy, resp. Wide local excision se pouziva pro castecne operacni vykony (= Breast conservation therapy (surgery). Bilateral Mammography Normal, mostly fatty breast tissues. No dominant suspicion lesions. No signs of malignancy. There are mild post operative changes due to previous surgery on the right breast seen. No change compared to previous films from… Bilateral Mammography Moderately dense breast bilaterally. No signs of malignancy. In comparison with previous.., no significant change is seen. Bilateral Mammography, Bilateral Ultrasound Glandular breast tissue with delayed involution is noted on both sides. No focal abnormality. No evidence of malignancy. The palpable thickening corresponds to glandular breast tissue. There are few benign calcifications on both sides seen.
No significant axillary lymphadenopathy although the evaluation of both axilla is limited due to patient's reduced mobility.
Bilaterally Mammography, Right breast Ultrasound. Normal, partially involuted breast bilaterally seen. The pointed area at the upper outer quadrant of the right breast corresponds to normal glandular breast tissues. No focal abnormalities. No signs of malignancy. There is normal solitary chronic lymph node within the right axilla up to …cm.
