As an essential part of annual physical examination, female breast examination often makes people nervous because breast cancer has been in a high incidence in recent years, and many women are anxious after physical examination because they cannot understand the words such as “nodule”, “cyst”, “mass”, “hypoechoic” and “calcification” in the report. Many women are anxious because they cannot understand the words such as “nodule”, “cyst”, “mass”, “hypoechoic”, “calcification”, etc. in the report and doubt whether they have “cancer”. In order to avoid unnecessary panic and make women understand their breast health, we interpret these terms as follows: Nodules and masses Interpretation: “Nodules” is the term that appears most frequently in medical examination reports, mostly in breast ultrasound reports, and occasionally in simple touch examination reports and mammogram reports. The term “nodule” is a descriptive term used to describe a “small mass” found by various methods, and is not related to the benign or malignant nature of the mass, nor is it the name of the disease. The term “mass” is the opposite of “nodule” and is used to describe a “large mass”. Hypoechoic, anechoic, well-defined, poorly defined Interpretation: In breast ultrasound reports, nodules are often described as “hypoechoic” or “anechoic”, again, this is descriptive language. On a black-and-white ultrasound image, it is natural for “nodules” of various natures to be either darker (hypoechoic) or darker (anechoic), and there does not seem to be a particularly objective criterion for defining them. The terms “well-defined” or “poorly defined” describe whether these “nodules” are clearly identifiable on the image. It is not possible to say that “indistinct” is malignant or “well-defined” is benign; this requires specific analysis by the physician. Glandular structural disorders Interpretation: A descriptive term used to describe the image of the gland that is more commonly found in breast ultrasound or mammogram reports. If you imagine the breast as a bun, then the skin and subcutaneous fat tissue are the “skin” and the glands are the “filling”, and the images always clearly distinguish between the “skin” and the “filling”. The “skin” and the “filling” can always be clearly distinguished on the image, and the “filling” is the focus of our attention because breast diseases originate from the glands – the “filling “. If the image structure of the “filling” looks different from normal, we describe it as a “disorder of the glandular structure”, mostly due to glandular hyperplasia (microscopic changes in the number, arrangement and organization of cells), which is often referred to as “Of course, it cannot be excluded that a very small number of “structural disorders” are due to local cellular malignancies. Cysts Interpretation: Similarly, in ultrasound reports, experienced ultrasonographers will judge a particularly typical “non-echoic” nodule as a “cyst”, which can be interpreted as a thin layer of skin wrapped around a packet of water, which is more common in cystic hyperplasia of the breast. This is more common in cystic hyperplasia of the breast and can be single or multiple. Most of the cysts are benign and harmless. It is normal for young women who have had children and have weaned recently to have multiple small cysts, especially if their breasts have not fully recovered. BI-RADS grading Interpretation: This mysterious English language which looks “high” has caused many patients to panic, and what is more frightening is the different levels on its suffix – Grade 1, Grade 2, Grade 3, Grade 4 A, Grade 4 B, Grade 4 C …… In fact, this is just an abbreviation for “Breast Imaging Reporting and Data System”, in order to make different doctors see the image report, there is a uniform standard to follow. When graded at ≥3, it suggests further diagnostic or surgical intervention. Calcification: Many patients are frightened by the word “calcification” on the mammogram report, not knowing that calcification is very common in breast films and that problematic malignant “calcifications” are very rare. Scattered, isolated, large, round calcifications (white dots on mammograms) are actually benign calcifications, and although they do not go away once they are created, they are not malignant for life and do not need to be managed. However, clusters of small, suspicious malignant calcifications definitely require further management by a physician. Such as surgical biopsy or MRl examination or mammogram review after six months.