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Rationale and Objectives To determine the relationship between screening mammography facility characteristics and on-site availability of advanced breast imaging services required for supplemental screening and the diagnostic evaluation of abnormal screening findings. Materials and Methods We analyzed data from all active imaging facilities across six regional registries of the National Cancer Institute–funded Breast Cancer Surveillance Consortium offering screening mammography in calendar years 2011–2012 ( n = 105). We used generalized estimating equations regression models to identify associations between facility characteristics (eg, academic affiliation, practice type) and availability of on-site advanced breast imaging (eg, ultrasound [US], magnetic resonance imaging [MRI]) and image-guided biopsy services. Results Breast MRI was not available at any nonradiology or breast imaging–only facilities. A combination of breast US, breast MRI, and imaging-guided breast biopsy services was available at 76.0% of multispecialty breast centers compared to 22.2% of full diagnostic radiology practices ( P = .0047) and 75.0% of facilities with academic affiliations compared to 29.0% of those without academic affiliations ( P = .04). Both supplemental screening breast US and screening breast MRI were available at 28.0% of multispecialty breast centers compared to 4.7% of full diagnostic radiology practices ( P < .01) and 25.0% of academic facilities compared to 8.5% of nonacademic facilities ( P = .02). Conclusions Screening facility characteristics are strongly associated with the availability of on-site advanced breast imaging and image-guided biopsy service. Therefore, the type of imaging facility a woman attends for screening may have important implications on her timely access to supplemental screening and diagnostic breast imaging services. [ABSTRACT FROM AUTHOR]

The article describes an orthopedic case of a 32-year-old woman who received physical evaluation for a progressive left leg pain and swelling after a minor trauma. Imaging procedures showed an ossified calf mass which was identified as a case of synovial chondromatosis or a collection of innumerable fragments of bone and cartilage without substantial enhancing tissue. It says that the symptom was resolved after surgical resection of the calf mass.