1. Background breast enhancement level (minimal, mild, moderate, marked)

2. Enhancement type

– Focus = < 5 mm (bright flecks, stable, benign/part of background)

– Mass = 3D lesion

3. Morphology of enhancement (mass or non mass like [enhancement w/o 3D])

– Mass characteristics

– Location, Shape (round, oval, lobular, irregular), Margins (smooth, irregular, spiculated), T1/T2 characteristics, Internal enhancement (homogeneous, heterogeneous, rim, dark internal septations, enhancing internal septations, central enhancement), Enhancement kinetics

– Non mass enhancement

– Distribution (focal, linear, ductal, segmental, regional, diffuse), Internal enhancement (homogeneous, heterogeneous, clumped, punctate, reticular), Symmetric or asymmetric

(Dhillon 2011, Glassman 2009)