Mlo Clock

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When evaluating breast findings, it is important to accurately identify their location. Findings in the breasts are described by their orientation on a clock face Figure 1. When deciding on the clock face location of a finding on mammography two standard mammographic views are used, the MLO mediolateral oblique and CC craniocaudal views.

Quadrant and o'clock location Understand that MLO projections distinguish between superior upper and inferior lower quadrants. CC projections distinguish between lateral outer and medial inner quadrants. The four quadrants are used in mammography a clock face is used in ultrasound. Understand that the clock face is a mirror image

Figure 3 A Mammography of the left breast with MLO view demonstrates irregular, spiculated mass in the left breast at 12 o'clock big white circle. Additional calcifications in the left breast at 8 o'clock at anterior depth located 2 centimeters from the nipple, three additional groups of calcifications in the central and lower inner left

In summary Recognize MLO versus CC projections Understand that MLO projections discern superior upper versus inferior lower Understand that CC projections discern lateral outer versus medial inner The four quadrants are used in mammography clockface in sonography Understand the clockface is mirror image for lateral outer and medial inner

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3-.3 True CC Lat Med Lat Med Lateral roll CC Med rolled CC Lesion in top half breast Lesion in bottom half breast Top breast rolled med Lat Lat

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A mnemonic to help remember breast lesion localization when given a set of mammograms in mediolateral oblique MLO and 90-degreetrue lateral mediolateral ML or lateromedial LM views to predict laterality is. muffins rise and lead falls This can help localize a finding on MLO during diagnostic mammography into the quadrant e.g. upper outer, even when the finding is not well-seen on