syngo. Ultrasound Breast Analysis (sUSBA) Video

This is the basic introduction of the single ultrasound breast analysis software. To begin, let's review the user interface. First. Open a patient from the patient browser located in the upper left hand corner. In the menu navigation bar, all the volumes acquired for this patient are listed with the active volumes highlighted in blue. Now let's look at the various hanging layouts. Keep in mind the default can be customized to each physician's preference. To see an overview summary of all the volumes acquired for this patient, select the study overview hanging by clicking the icon to the left of the 3D ultrasound images. To quickly compare three volumes within one breast, left click on the icon located to the left of the breasts name right breast. This is the new laterality hanging layout. This layout was designed to help improve the reading workflow by enabling side by side review to quickly correlate findings between multiple volumes. Notice how easy it is to simultaneously visualize the pathology in each of the volumes. The first row of 3D hangings is dedicated for 3D images and consists of from left to right multislice. Corona side by side. Single slice. An ultrasound wide. The Corona side by side layout is used to easily evaluate symmetry between both breasts. An is the recommended layout to examine the unique Corona plane. The single slice layout shows the large coronal view next to the transverse and sagittal slices. The ultrasound wide layout. Demonstrates the large acquisition or transverse plane. The current prior hanging layouts are only visible when two or more Abe studies exist for the same patient. In the top menu bar, the number 2 next to the person icon indicates two studies for this patient. Left click on the icon to see the list of studies and dates. The study highlighted in blue is the active study to compare these two studies. Select a hanging layout from the 2nd row in the study navigator on the left. The hanging layouts are from left to right, Corona side by side. Transverse side by side. Horizontal side by side. And vertical side by side. Notice that the study on the left is the current and the study on the right is the prior with prior one in red. Let's review another patient that has two studies. To compare these two studies, select the horizontal hanging layout in the 2nd row of the study navigator. Notice that the study on the top is the current and the study on the bottom is the prior with prior one in red. The 3rd row contains the general comparison hangings. And consists of the one by two. Two by two and two by three layouts. These are used for displaying multi modality images, including ultrasound, mammography, MRI and CT. Select the two by three layout in the study navigator under the section images from other studies. Highlight and drag each mammography and ultrasound image across the ability to review images from other modalities on suspa. Enables physicians to see all studies on one monitor. There are dedicated menu tools to examine the volumes in each quadrant along with a number of keyboard shortcuts. First hovering the mouse over any of the corners in each quadrant will activate the menu tools. Selecting the reference point frees the mouse to move through the volumes easilly, for example from skin line to chest wall. As I'm doing here. Within the image I can also adjust the window level invert. And Zoom and pan. Notice when I select the zoom, how the icon indicated with two boxes for zoom changes to a crosshair for pan as they move to the center of the image. Scrolling allows me to quickly move through any of the Plains to find the area of interest I can click on the menu bar, select scrolling. And scroll through the Corona plane by moving the actual mouse. I can also scroll through the transverse and sagittal planes. Once I identify an area of interest, I can quickly go back to the menu bar, select the reference point. Place it in the area of interest an observe as all three planes line up simultaneously. To magnify the area of interest, select the magnify tool and left click and hold over the area of interest in any of the volumes. Use the scroll wheel on the mouse to adjust the magnification settings. To rotate around the area of interest, select the rotation tool. And notice that the mouse icon changes to indicate this left Click to allow free rotation around any axis. To rotate on the Z axis, go to the periphery of the image and left click and hold. To free the mouse again, select the reference point using the menu or shortcut tular. To change the projection parameters, simply hover over the menu tools in the lower left corner. Here I can choose men or Max IP an select the slice settings. I can use the slider bar to choose the slice thickness and slice overlap that I want and save it. The tools in the lower right corner are used to return to home or change the orientation of the view. In this particular study, I am currently looking at this Corona plane. I can click on the orientation an change it to the sagittal orientation, and then click back on orientation and change it back to the Corona orientation. Using the menu tools in the upper right corner, I can easily bookmark an area of interest by placing a location marker on it. Once the marker is placed, a window appears, allowing me to name this location marker finding and assign a birads category. To measure the lesion from the transverse and sagittal planes, I simply hover over the right upper menu tools again in the respective Quadrant select measurement. Watch the icon changes to a ruler. And simply place the start and end points. Once the measurement is complete, the measurement window appears, allowing me to add it to the current folder. This is also where I can add finding comments an interpreting physician's comments. I can take a snapshot of just the picture of interest by using the camera in the navigation bar on the left. Notice how the icon changes and I can add it to the finding folder. Or take a screen capture of the entire work area by selecting Alt S and adding that to the finding folder. Now that we've placed the location marker with measurements, let's review the navigation bar on the left. Under findings, I can see the finding folder. I created F1. If I select this all manual snapshots taken will be listed here as well as the auto created associated markings which include snapshots of each segment. Next, let's review the final report or worksheet by selecting the report icon in the navigation bar on the left. The report is instantly created. Any findings or measurements are auto populated along with the auto created screenshots. Notice how the body marker nicely displays all the information pertaining to the finding. For example, Clock position, distance to skin line and distance from nipple while viewing the report. I can easily zoom. Or change the font size. Printing defaults and review all of the pages containing the screenshots. The report will automatically be saved to the patients file as a secondary capture. Additionally, it can be printed or saved as a PDF. Finally, complete the study by selecting the check Mark icon in the navigation bar on the left. Select defer complete preliminary, complete or cancel. This concludes our basic introduction to the single ultrasound breast analysis software. Please refer to the user manual for additional detailed instructions.

SERIES & IMA. Work Lists Images Breast doc 1 SIEMENS doc 1 doc 1 docl docl S docl doc 1 docl1 doc 1 NS doc 1 doc 1 doc 1 docl1 S docl1 doc 1 00 US SERIES & IMAGES— 22 22 doc 1 doc 1 Work Lists Work L ists Work Lists I work Lists doc 1 docl SIEMENS coronal 108/411 0.5 mm Reference coronal 108/ 411 0.5 mm EMENS SERIES & IMAGES doc 1 docl Markings SIEMENS - # 3D US Images Work Lists 22 SERIES & IMAGES — — SERIES & IMAGES— - Right Breast S2000 Report .MENS doc 1 doc 1 SERIES & IMAGES _ coronal 144 / mm - 3D US Images Breast Work Lists doci doc 1 Work Lists docl Work 3D US Images 22 WI ndowlLevel 22 Study Date Modalities Contents : S2000 Work Lists I docl RI_AT docl - 3D US Images Work Lists I SERIES & IMAGES— SERIES & IMAGES _ SERIES & IMAGES — SERIES & IMAGES ___ SERIES & IMAGES SERIES & I SERIES & 'MA... SERIES & IMA... 26 22 - Right Breast 1 318 0.5 mm . S2000 i coronal 105 / 411 0.5 mm 84.3% S2000 doc 1 doc 1 ENS doc 1 doc 1 szooo Right Breast MG 10/6/2016 G 6/22/2016 : 6/22/2016 MG 10/2/2016 . S2000 ENS doc 1 doc 22 •coronal / 1.0 mm . Transverse 190 0.3 mm Transverse 19 / 318 1.0 mm . Transverse 190 / 318 0.3 mm Transverse 190 / 318 0.5 mm : RAP SERIES & IMAGES : S2000 190 / 318 0.5 mm / 318 1.0 mm SWudy - Right Breast Patient 0.66 Cblique 95 / 481 1.0 mm 219 / 368 0.5 mm Invert S2000 Work Lists RI_AT RI-AT docl Flo Left Breast - Left Breast : 0.66 - # 3D US Images 3D US Images 3D UIS Images - 3D US Images . S2000 S2000 S2000 52000 • S2000 Probably benign finding (81- coronal 122 / 1.0 mm i coronal 122/ 411 0.5 mm Coronal 11/ 411 1.0 mm coronal 122 / 0.5 mm •Coronal 59/ 411 1.0 mm . coronal 122/ /11 1.0 mm RAP SERIES & IMAGES —__ 4/29/2013 4/2 /2013 US : S2000 i coronal 411 1.0 mm Transverse Oblique 219 / 368 1.0 mm Transverse 196 / 318 1.0 mm - Left Breast — SERIES & IMAGES— • 0.51 S2000 C coronal 113 / 411 1.0 mm LEAP • RAP RLAP 122 / 411 1.0 mm mm S2000 . S2000 doc 1 doc 1 22 RMED LMLO RMLO doc 1 doc 1 S docl doc 1 docl1 doc 1 Breast • RMED RAP '0.59 . 1.18 • Transverse 191 / 318 0.5 mm 315 /07 0.5 mm 3D LIS Images Coronal 77 / 411 1.0 mm Work Lists RI-AT - Right Breast: - Right Breast - Left Breast Right Breast Breast NS docl1 doc 1 : 0.59 ZoomfPan 0.5B ZoornlPan RADS' 3) 0.59 0.58 •0.539 . 0.74 : 0.58 • 0.15 . RAP RUT i coronal 148 / 1.0 mm Invert 0.72 S2000 i coronal 122 / 411 1.0 mm i Coronal 108 / 411 0.5 mm Coronal 113/ 411 V.O mm . Coronal 113/ 411 1.0 mm i Coronal 137 / 411 1.0 mm i coronal 108 / 411 0.5 mm i coronal 122/ 411 0.5 mm : 305 / 0.5 mm i coronal 122/ 411 1.0 mm . Coronal 663 / 411 0.5 mm Coronal 10/ 411 1.0 mm : coronal 113/ 411 0.5 mm i Coronal 113 / 411 1.0 mm Transverse 207 / 318 Transverse 188 / 318 1.0 mm . Transverse 190 / 318 0.5 mm Tran verse 188 / 318 1.0 mm Transverse 159 / 318 1.0 mm i Transverse 186 / 318 1.0 mm • Coronal 5913 / 411 1.0 mm Coronal 113 / 411 1.0 mm Coronal 50 / 411 1.0 mm Coronal 108 / 411 0.5 mm Coronal Sagittal 310 / 0.5 mm :Coronal 540 / 411 1.0 mm coronal 50 / 411 . Coronal 95 / 411 1.0 mm : coronal 10B / 411 0.5 mm C coronal 113/ 411 1.0 mm Coronal 60/ 411 0.5 mm C coronal 41 / 411 0.0 mm Coronal 15 / 411 0.0 mm 305 / 0.5 mm i Transverse 186 / 318 1.0 mm . Transverse 207 / 318 1.0 mm Transverse 1591 / 318 1.0 mm Modalities . 0.5B . Coronal 113 / 411 1.0 mm . Coronal 86 / 411 1.0 mm . Transverse 188 / 318 1.0 mm . Transverse 192 / 318 1.0 mm . Transverse 190 / 318 0.5 mm : Transverse 192 / 31B 1.0 mm . Transverse 190 / 318 1.0 mm . Transverse 192/ 318 1.0 mm i Coronal 113/ 411 1.0 mm . Transverse 184 / 318 1.0 mm i Transverse 191 / 318 1.0 mm i Oblique 219 / 368 0.5 mm Transverse 190 / 318 0.5 mm . Transverse 191 / 31B 0.5 mm : Transverse 190 / 318 0.5 mm Transverse 192 / 318 1.0 mm Oblique 275 / 484 0.5 mm Sagittal 305 / 697 0.5 mm Content Date Transverse 1591 / 318 1.0 mm Sagittal 378 / 697 1.0 mm / 318 1.0 mm RLAP Transverse .1 1.0 mm / 318 1.0 mm 21.0 mm 1 0.5 mm 0.5 mm 200 mm 120 mm Transverse 22 : S2000 S52000 : 0.66 RL_AT • 0.58 : 0.74 3D US Images RME-D RMED Oblique 275 / 484 1.0 mm Coronal 35 / 411 1.0 mm 30 US Images RI-AT 0.58 . Transverse 1592 / 318 1.0 mm Work : 0.59 0.59 RUT . Transverse 191 / 318 1.0 mm . Transverse 2184 / 318 1.0 mm SERIES & IMAGES Rreaste Work Lists Work Lists I - Right Breast S2000 22 Studies Coronal 108 / 411 0.5 mm coronal 113/ 411 mm : 0.59 0.72 1.18 • 0.15 io.15 0.726 0.72 • 0.51 0.22 0.159 0.53 • 0.15 0.63 Zoom/Pan Reference ABVS, 012016 50 mm 3D US Images 3D US Images . 0.74 : 0.66 Interpreting Physician's • 0.58 • 0.15 - 3D US Images Magnifier Coronal 66 / 411 0.5 mm Coronal 663/ 411 0.5 mm • 0.74 Other Coronal 10 / 411 0.5 mm Invert Magnifier • 0.59 0.59 RMED •Coronal 590 / 411 1.0 mm C coronal 66 / 411 0.5 mm - Right Breast Zoom/Pan Left - Left Breast 22 Transverse 0.5 mm :o.59 : coronal 10B / 411 0.5 mm i coronal 10B / 411 0.5 mm S2000 docl docl Rotate doch Right Breast s 2000 LLAT 30 Images docl : 0.59 0.259 0.59 Magnifier & IMAGES - Left Breast . Coronal 50 / 411 1.0 mm RAP ABVS, 032016 i 0.59 Reference Zoom/Pan SERIES & IMAGES Aavs, 012018, 8/21/1948 Aavs, 012018, &/21/1948 RI-AT Rotate Magnifier LMED Aavs, 012018, doc 1 do-a RMED S2000 Left Breast - Right Breast RLAP RAP point - Left Breast Scrolling '/17/2018 '17/2018 /17/2018 Siemens Heathineers mm : Coronal 140 1.0 mm RI_AT : 0.65 : 0.33 coronal 4110.5 mm Magnifier MG 2/2/2016 Images From Other studies coronal 124 / 1.0 mm coronal / 4110.5 mm Coronal 15 / 411 0.0 mm coronal 4110.3 mm coronal 131/411 0.0 mm Coronal 4/ 411 0.0 mm Invert LLAT RLAP Rotate RMED . coronal / 0.5 mm coronal 113/ 411 mm Ccoronal 10/ / 1.0 mm coronal 0.5 mm Images From Other Studies Left Breast coronal 66/ 0.5 mm Images Breast - Left Breast - Right Breast US Images . S mm Window LL_AT RI_AT / 1.0 mm Scrolling coronal 66/ 4110.5 mm Coronal 663/ 411 0.5 mm Rotate I-LAT 3D US Images images LMED RMED LLAT R LAT Ultrasound Report: ABVS, 012016 MG MG 20/2/2016 R-MED RMED MG 0.58 - Left Breast MG 10.6/2016 Rotate Images RLAP Scrolling LL.AT 6-lateral oblique L - Right Breast Right Breast Measurement mm Scrolling scrolling RMED LLAT LSUP LSUp G 2/2/2016 Left Breast MG 10/6/2016 - Left Breast 50 Breast RAP R LAT LLAT LMED medio-lateral oblique R medics-lateral oblique R medios-lateral oblique L io-lateral oblique R Scrolling RMED RAP RL-AT Summary SIEMENS - Left Breast SIEMENS I-MED 4.5 mm LMED - Left Breast cranio-caudal R crania-caudal R Breast : RAP Study Informaton Report Summary 40 mn MG Int—präing Physician MG 10/6/2016 US 2/92/2016 MG 20/22/2016 MG 20/2/2016 50 m LLAT Images From Other - Left Breast RMED 40 mm 150 mm 50 mm 100 mm - Right Breast Images From Other Studies cranio-caudal L ranio-caudal L RLEAT Invert Font Aavs, 012018 MG RL_AT LLAT us 2/9/2016 US 2/9/2016 MG 20/22/2016 MG 2.2/2016 MG 10/6/2016 Coronal 0.5 mm 100 mm MG 21212016 MG 2/2/2016 LMED Transverse 50 mm MG 10/82016 LSUP - Left Breast LLAT L LAT Exported Series cranio-caudal MG RLEAT LMED MG 10/6/2016 G 6/22/2016 Datien Patient MG 20/2/2016 Ccoronal 10/ / 1.0 mm i Coronal 113/ 411 1.0 mm Images From Other Studies Images From Other Images From Other studies Rotate - Left Breast - Right Breast Slice LLAT LL_AT Exported Series medios-lateral oblique L medio-lateral obbique L SIEMENS . Right Breast Left Breast Right Bre ast 150 m 1.0 mm 40 mn 50 mm 150 m 120 mm medio-lateral obliaue L Rotate 0.59 ABVS012016 AavS012016 AaVS012018 al-RADS@ categones MG 212/2016 30 mm 50 mm 40 mm Images From Other Studies Images From Other FINDINGS 10 MG 10/6/2016 MG '082016 MG 20/9/2016 MG 0/6/2016 : 6/2/2016 G 2/2/2016 US 2/9/2016 50 mm 40 mn RAP 11:00 3 11:00 scrolling ID Right Breast: - Left Breast Left Breast Right Breast 40 mm MG 10/6/2016 120 mm Markings FINDINGS 150 m 100 mm Images From Other Studies mm RI_AT LL_AT 6 2/2016 Scrolling Left Breast Finding Finding name: Negative 1) RAP RAP 14:00 : Probably benign finding 3) Finding 40 mm 50 mm MG 9/22/2016 us 2/9/2016 MG 2022016 MG 10/6/2016 RAP LLAT MG 821/1948 40 m 100 mm MG '082016 G 9/2/2016 MG 10/6/2016 Images From Other Studies Measurements Skin MG Ultrasound Breast Analysis MG 2/2/2016 40 mm Markings Category 3: Probably benign finding FINDINGS 50 m 140 mm Breast Coronal 19/ 411 1.0m 50 mm 120 mm 150 mm 100 mm Skin 12 h Skin IOS mm SWudy Study Skin: 8.5 mm MG 10/6/2016 0.5 mm medio-lateral obÄque R 50 F Nipple: 43.0 Probably benign finding (81- mm 7.0 Nipple: 248 mm MG Finding comment: Skin: 10.5 mm Nipple: 24.0 mm • Skin 18.5 Skin Study Skin Skin ' FINDINGS . Nipple: 28. O mm RADS' 3) 270 mm - 3D US Images SWdy Date Date 25 S mm 27 mm 40 mm 270 mm 030 h 22 27 28. S Images From Other Skin. Skin, Skim: mm Skin mm 11 h : Skim mm : Skin: IOS mm Skin: ISO mm : Skim 130 mm : Skim. IOS mm : Skin: 120 mm : Skim 98 mm Nipple: 2S.O : Skin 130 mm : Skin: 130 mm Skin: mm : Skin 120 mm Skin: 120 mm Skin: 140 mm : Skin Skin • Skin 7 S mm mm : Skin: 7.0 mm : Skin: mm Skin. 9.0 mm : Skim 7.0 mm : Skin. IOS mm : Skim 120 mm Skin ISO mm Skin 120 mm Nipple: 22S mm mm Nipple. 25S0 mm : Skin: 11.0 mm Images From Other Studies 27 0 MG • Skin: 70 mm • Skin: 10 mm Skin: mm Skin: 7S mm Skin: 12.0 mm Skin: 120 mm : Skin: 13.0 mm Skin: 130 mm : Skim: 130 mm Skin: I I S mm Skin: IO mm Skin: IOS mm Skim: IOS mm Skin: 140 mm Skin: 70 mm Skin: IIS mm 27.0 MG Nipple: 24.0 mm : Nipple: 2S S mm : Nipple: 22S mm : Nipple: 25 S mm : Nipple 280 mm Nipple: 25.5 mm Nipple: 248 mm Nipple. 27.S mm 38.5 mm Nipple. 2SS Nipple: 410 mm Nipple: 255 mm Nipple: 2430 mm Nipple: 220 mm Nipple 27 S mm : Nipple: 27 S mm Nipple 30 S mm Nipple 288 mm : Nipple: 2S,S mm Nipple: 22.S mm : Nipple: 2S,Smm Nipple: 248 : Nipple: 2S S mm • Nipple: 248 mm : Nipple: Skin. Ret«ring Physician Interpreting Physician's Referlng Physlclan FINDINGS : Nipple: 24 S mm : Nipple: 2S S mm Nipple: 255 mm Nipple: 2SS5 mm Nipple 22S0 mm Nipple: 235 mm Nipple: 2&S mm . Nipple: 2& S mm Nipple: 2S S Tm • Nipple. 25.0 mm Nipple: 225 mm Nipple: 2SS mm . Nipple: 270 mm . Nipple: 2SS mm Nipple: 288 mm : Nipple: 27 S mm : Nipple: 27 0 mm : Nipple: 280 mm Nipple: 290 mm MG (RAP) 11 h Skin IOS mm 1080 h MG 2/22/2016 US 9/22/2016 11 h SO m : Nipple: 24. S mm 11 h 04 h MG 2.22016 MG '082016 Nipple: 27. O mm Nipple. 28. Smm Nipple. 28. Smm Nipple: 24.0 mm : Nipple. 28. S mm Nipple 27 S mm Nipple. 28. S mm Nipple. 27.0 mm Nipple: S mm 11 h : Nipple: Nipple: 2SS mm Nipple: 37.0 Markings 50 mm 100 mm 120 mm Interpreting Physician's Nipple: 2SS mm FINDINGS 11 h 140 mm 40 m 50 mm 27.0 27 0 11:30h FINDINGS studies 18.5 mm (RAP 50 mm 100 mm RAP 11:00 3 RAP 11:00 BI-RADS@ 3 P 11:00 al-RADS@ 3 P 11:00 BI-RADS@ 3 S2000 FINDINGS Rotate 0.5 mm '1 14.5 mm (RAP S2000 Save Distance from nipple: 27.0 mm Physician's Comment images Cancel 3D US Images ther Images sage 315 607 0.5 mm sago 310 697 0.5 mm sage 315 / 697 0.5 mm 315 607 0.5 mm 310 / 607 0.5 mm / 318 1.0 mm 310 697 0.5 mm 310 607 0.5 mm saoittal / 697 1.0 mm sagittal 310 697 0.5 mm 315 697 0.5 mm S2000 LMED RMED LMED : S2000 S2000 : S2000 . S2000 S2000 S2000 Aavs, 012018, 821/1948 ther Images — RAP RAP S2000 11.5 mm (RAP 50 mm : S2000 ABVS, 012016 315 / 697 1.0 mm C coronal 108 / 411 1.0 mm Coronal 60/ 0.5 mm 0.63 1/17/2018 sagittal 315 / 697 0.5 mm R LAT LLAT 95 / 411 1.0 mm 0.56 • RMED RMED LLAT RAP 11:00 3 RLAT Defer Cancel ian: docl docl RAP Markings 0.59 RAP : 0.72 315 697 0.5 mm 315 / 0.5 mm Sagittal 312 / 697 1.0 mm : Coronal 595 / 411 1.0 mm C coronal 95 / 411 1.0 mm Coronal 951 / 411 1.0 mm . Coronal 1313/ 411 1.0 mm Coronal 113 / 411 1.0 mm Cblique 95 / 481 1.0 mm : coronal 10B / 411 0.5 mm . Coronal 95 / 411 1.0 mm Coronal 35 / 411 1.0 mm i Coronal 113 / 411 1.0 mm 0.58 0.33 0.72 Transverse 180 / 318 1.0 mm Transverse 176 / 318 Coronal 113/ 411 V.O mm : Coronal 113 / 411 1.0 mm coronal 113/ 411 mm Sagittal 312 / 697 1.0 mm 113/ 411 V.O mm coronal 108/ 411 0.0 mm : Coronal 113 / 411 1.0 mm coronal 4110.5 mm coronal / 1.0 mm c Coronal 113 / 411 1.0 mm : Coronal 1131 / 411 1.0 mm : Sagittal 312 / 697 1.0 mm Sagittal 312/ 1.0 mm Sagittal 312 / 1.0 mm . coronal 411 1.0 mm i coronal 122/ 411 1.0 coronal 131 / 411 0.0 mm coronal / 1.0 mm saqittal 369 / 723 1.0 mm 1.0 mm Sagittal 3105 / 697 0.5 mm ; Sagittal 313 / 697 1.0 mm coronal 124 / 1.0 mm Sagittal 324 / 703 1.0 mm Sagittal 324 / 697 1.0 mm Sagittal 305 / 1.7 0.5 mm Sagittal 315 / 1.0 mm Sagittal 305 / 697 0.5 mm Sagittal 310 / 0.5 mm Sagittal 310 / 697 0.5 mm Sagittal 315 1 697 1.0 mm Sagittal 315 / 0.5 mm Sagittal 305 / 697 1.0 mm Sagittal 305 / 0.5 mm Sagittal 315 / 697 0.5 mm Sagittal 324 / 1.0 mm 312 / 697 1.0 mm 12.0 mm 0.74 0.72 0.74 0.59 Coronal 82/ 411 1.0 mm Sagittal 324/ 697 1.0 mm Sagittal 3105 / 697 1.0 mm FINDINGS : 0.33 0.33 0.22 0.59 • 0.58 . 0.34 i 0.34 0.26 . 0.63 : 0.33 • 0.58 0.51 0.15 0.158 0.33 324/ 697 1.0 mm Markings Sagittal 378 / 697 1.0 mm Scrolling 0.726 0.59 0.58 0.74 RAP RMED RLAP RAUP (RAP) 0.72 0.253 Interpreting Physician's 0.51 Sagittal 302 / 1.0 mm 315 697 0.5 mm icoronal 148 / 498 1'.0 mm FINDINGS RAUP 0.5 mm Markings Snapshots RAP 3: Findings in this Study C coronal 10 / 411 1.0 mm RAP 50 mm 200 mm 100 mm Sagittal 310 / 697 0.5 mm RAP Cancel Markings 1/17/2018 100 mm 18.5 mm 14.5 mm Associated Markings RAP RAP Probabtybemgn RAP Markings 0.74 (RAP) 14.5 mm (RAP, or/posterior) Fl RAP 11:00 prob„. Sagittal 310 / 697 0.5 mm Coronal 10 / 411 0.5 mm Sagittal 359 / 703 1.0 mm 50 mm 40 m 8/21/1948 50 mm 50 m Skin: mm 0.515 100 mm 18.5 mm (RAP, (RAP) Fl RAP 11:00 prob„bl. 11.5 mm (RAP, _rior/inferior) FL: mm View name: RAP View name RAP View 11.5 mm Associated Markings mm Markings 0.72 0.33 Position: Il o'dock S2000 14.5 mm (RAP, ant Markings RAP 11:00 3 Coronal 713 / 411 1.0 mm , Coronal 82/ 1.0 mm / 1.0 mm (RAP) Distance to skin: Il S mm RAP 18.5 mm (RAP, me... Skin 130 mm • Length (RAP/medial/lateral): 18.5 mm 11 h 11.5 Distance fmom nipple: 27 0 mm Distance from nipple: 27 0 mm Distance from nipple 27 0 mm 100 mm Fl 18.5 mm (RAP, me. Associated Markings 40 11.5 mm (RAP, Nipple: 220 mm Markings • Length (RAP/anterior/posterjor): 14.5 mm 14.5 mm (RAP, (RAP) 18.5 mm (RAP, 11.5 mm (RAP, Markings : Nipple: 29 C mm 11 h 18.5 mm 18.5 LSUP mm FINDINGS Fl Coronal 4/ 411 0.0 mm i Coronal 103 / 411 1.0 mm 40 m Fl 18.5 mm (RAP , me... 100 mm 14.5 mm 11 h 120 mm 1.0 mm 50 mm 150 m 27.0 mm 120 mm Skin: mm Skin: IOS mm 40 mr 11.5 mm (RAP, 40 mn Rotation Coronal 14.5 mm (RAP,ant_ Measurements • Nipple: 25.5 mm 40 mm 100 mm 30 mm 10 50 mm Skin 130 mm : Skin: 13.0 mm 7.0 mm IIS • Length (RAP/mediaI/IateraI): I& S mm • Length (RAP/mediaI/IatemI): 18 S mm • Length (RAP/mediaI/IateraI): IBS mm • Length (RAP/mediaI/IatemI): I&S mm Studies / 318 1.0 mm WindowfLevel 120 mm . 28.0 : Skin- 13.0 mm • Skin 40 mm 370 mm Sagittal • Length (RAP/anteriodposterior): 148S mm • Length (RAP/anterioNposterior): 14 S mm • Length (RAP/anterioNposterior): 148 mm P 27.0 SS mm 27.0 mm 11 h Rotate Cancel • Skin: 10 mm 28 S 12.0 mm Rreaste prior 27.0 7.0 • Length (RAP/superior/inÉriorL Il S mm • Length (RAP,'superior/inÉriorL Il S mm • Length (RAP/superior/inÉrior): Il S mm : Skin. IOS mm Skin: 7OS mm Skin: 11.0 mm Nipple. 23.0 mm 28. S mm mm 40 mm - Skin, Skin: Nipple. Nipple. 23 0 Page I 5 120 mm 4S mm 100 mm 50 m 40 mm 130 mm 50 mm 40 mn Nipple: 29.0 m 27 _O . Skin: ll.Smm : Skin: 120 mm • Skin Skin : Skin : Skim 130 mm : Skimv 13.0 mm Skin: 11.0 mm Skin 130 mm : Skim • Skin: 10 mm : Skin: • Skim • Skim 70 mm : Skin. : Skin 120 mm : Skim 120 mm Skim 120 mm : Skim IOS mm Skin: mm Skim IOS mm Skin: IffS mm Skin: IOS mm Skin: 130 mm 12 h 11 h &S mm SO mm I S mm 100 mm 130 mm IISmm Il S mm 25 S mm IIS mm IOS mm 7.0 mm . 120 mm . Skin: ll.Smm Skin : Skin • Skin Skin: 120 mm : Skin: mm Skin: mm Skin 88 mm Skin. 0.5 mm Skin 8. S mm Skin 130 mm SS mm 120 mm O.S mm 7.0 mm 130 mm IIS mm 4S mm Skin 120 : Skim • Skin Skin 10 S Skim IOS mm : Skin: IOS mm : Skin: mm Skin: 140 mm Skin: mm Zoom/Pan : Skim 130 mm : Skin: 140 mm Skin: 7S0 mm Skin I I S mm Skin ISO mm mm • mm mm mm Nipple: 2SS mm tupple. 25 S mm 25 S mm 23.0 13.0 mm Transverse 120 rnm 12.0 12.0 mm 13.0 rm 21.0 mm 10:30 h Skim 120 mm Ski: 120 Ski: mm 13.0 Nipple: 25_5 mm 237.0 created SBA 2.0 (217025) : Nipple 255 mm : Skin: 12.0 mm . Nipple: 2250 mm : Nipple 248 mm Nipple. 28. Smm : Nipple: 288 mm • Nipple. 27.0mm . Nipple 25 S mm : Nipple 240 mm Nipple : Nipple 25 S mm Nipple: 22S mm : Nipple- 28 S mm : Nipple: mm : Nipple: 25.5 mm Nipple: 288 mm : Nipple: 250 mm : Nipple 270 mm . Nipple: 2SS mm : Nipple. 27.0 mm : Nipple: 270 mm : Nipple: 22S mm . Nipple: 2480 mm Nipple: 2S S mm : Nipple 280 mm . Nipple 280S mm . Nipple. 280S mm . Nipple: mm Nipple: 248 mm Nipple 22 Smm : Nipple: 27 S mm . Nipple 2480 mm : Nipple: 2480 mm : Nipple: 248 mm : Nipple. 270 mm : Nipple: 280S mm : Nipple: 25S5 mm Nipple: 27 0 mm • Nipple. 27. Omm Nipple: 2SS mm 2SS mm 24 0 mm 270 mm • Nipple. 27. mm Nipple Nipple 248 mm Nipple: 248 mm . Nipple: 2480 mm . Nipple: 24 0 mm Nipple 225 Smm Nipple: 225 mm Nipple. 2SS mm Nipple. 27.0 mm Nipple 27 S mm Nipple 255 mm Nipple 2S S mm Nipple: 21 mm Nipple: 255 mm 40 mm 248 mm 225 mm 11 n : Nipple: 2285 mm Nipple: 200 mm Nipple: 21 Nipple. . Nipple : Nipple: 28. S mm : Nipple mm Nipple 370 mm 30 S mm 34 0 mm : Nipple, 2S S mm : Nipple: 2SS5 mm Nipple: 270 mm : Nipple: 2SS mm Nipple 255 mm : Nipple: 2480 mm • Nipple: 225S mm . Nipple: 270 mm Nipple: 2250S mm Nipple 220 mm Nipple: 437.0 mm : Nipple 280 mm : Skim 11,Smm mm 100 mm 11 h 28.5 23.0 28 S 40 mm 24. S IIS rm 11 h 030 h 11 h : Nipple: 2705 mm Nipple: 2S.S mm • Nipple: 25.5 mm 11 h • Nipple: 27.0 mm : Nipple: 2SS mm 100 mm 11 h 100 mm 100 mm 50 mm Skin: mm Skin: 130 mm . Skin: ll.Smm Skin: 13.0 mm 7.0 mm 150 mm 11 h Orientation 27. O 100 mm IIS mm Pagel 5 created susdA2.O (217025) 100 mm 120 mm 40 mm 1.0 mm 200 m mm Ski: : Nipple: 10:30 h 11 h Nipple: 37 O mm Nipple. 28. Smm • Nipple. 27.0Omm : Nipple: 248 mm • Nipple. 27.0mm Nipple 22 Smm Nipple: 22S mm 11 h MG 9/22/2016 MG 10/6/2016 9/22/2016 Skin. 9.5 mm 150 mm 100 mm MG 2.22016 21.0 mm IIS mm 100 mm 1.0 mm 120 mm Skin Home skin: : Nipple: 270 mm Sagittal 305 / 697 0.5 mm Prior 11 h