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Review of Case Materials
Reviews records, documents, testimony, data, and other relevant materials and consults with counsel regarding technical issues related to the matter.
Provide Expert Analysis
Applies specialized knowledge and experience to evaluate the technical or professional issues involved.
Form Expert Opinions
Develops independent, supportable opinions based on the available evidence and relevant standards.
Prepare Expert Reports
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Prior mammograms allow a radiologist to determine whether a mass, asymmetry, calcification pattern, or other finding was previously present and whether it has remained stable or changed over time. Comparison can help distinguish a new or evolving finding from one that has been unchanged on earlier examinations. In some cases, prior images are needed before a final assessment can be made, so their availability may affect both interpretation and recommendations for additional imaging.
Screening mammography is performed to look for breast cancer in people who do not have breast signs or symptoms requiring diagnostic evaluation. Diagnostic mammography is used to investigate a specific clinical concern, such as a breast lump, pathologic nipple discharge, focal breast symptoms, or an abnormality identified on a screening examination. Diagnostic evaluation may include additional mammographic views, digital breast tomosynthesis, ultrasound, or other imaging depending on the finding and patient.
Dense fibroglandular tissue and many breast abnormalities both appear relatively opaque on mammography, so dense tissue can make some cancers more difficult to detect. Breast density is also independently associated with increased breast cancer risk, although that is a separate issue from whether a particular lesion could be seen on an individual examination. Under federal MQSA requirements, mammography reports must include a breast-density assessment, and patient summaries must state whether the breasts are considered dense or not dense.
BI-RADS, the Breast Imaging Reporting and Data System, provides standardized terminology, assessment categories, and management recommendations for breast imaging. The current BI-RADS v2025 framework includes sections for mammography, ultrasound, breast MRI, and contrast-enhanced mammography, along with auditing and outcomes monitoring. In a mammography record, the BI-RADS assessment documents how the findings were classified and can indicate whether no additional imaging is needed or whether comparison studies, further imaging, short-interval follow-up, biopsy, or another step is recommended.
Prepares clear, well-supported expert reports outlining methodology, analysis, findings, and opinions.
Provide Deposition Testimony
Explains findings and opinions under oath and responds to questioning during deposition testimony.
Testify in Court
Presents specialized findings and opinions clearly to judges, juries, arbitrators, or other decision-makers.
Proper positioning and compression help include relevant breast tissue, reduce tissue overlap and motion, and produce images suitable for interpretation. Inadequate positioning, motion blur, insufficient compression, exposure problems, overlapping tissue, or other technical limitations can reduce visualization or make subtle abnormalities more difficult to characterize. When image quality is disputed, the mammographic images and available quality-control or technical documentation can help determine whether the area in question was adequately demonstrated.
