BI-RADS v2025: What Changed and How to Use It

ACR BI-RADS v2025 adds new descriptors like "lobulated" and "non-mass lesion," renames MRI kinetics to "early phase," and separates assessment from management. It formally integrates contrast-enhanced mammography and supports surgical excision as definitive treatment under a rev…

• Calcification terminology was reorganized by morphology: "milk of calcium" is now "layering," "punctate" was folded into "round," and "dystrophic" moved under "coarse."
• Ultrasound gains the new terms "non-mass lesion" and "echogenic rind"; mammography drops the "microlobulated" margin descriptor.
• The auditing section now includes Category 3 follow-up in basic auditing and a Method of Detection data field.

Automated summary

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