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Multiple Choice

What is the recommended management for a BI-RADS 3 lesion?

BI-RADS 3 lesions are labeled probably benign, so the best approach is to monitor with short-interval imaging to make sure they don’t change. This means a follow-up study around 6 months, then again around 12 months (or per protocol), to confirm stability before deciding on further steps. Immediate biopsy or surgery would treat a lesion that is most likely benign, and skipping follow-up could miss a late change. If the lesion remains unchanged on follow-up, it can be managed with routine screening going forward. If it shows growth or new suspicious features, escalation to biopsy would be considered.

BI-RADS 3 lesions are labeled probably benign, so the best approach is to monitor with short-interval imaging to make sure they don’t change. This means a follow-up study around 6 months, then again around 12 months (or per protocol), to confirm stability before deciding on further steps. Immediate biopsy or surgery would treat a lesion that is most likely benign, and skipping follow-up could miss a late change. If the lesion remains unchanged on follow-up, it can be managed with routine screening going forward. If it shows growth or new suspicious features, escalation to biopsy would be considered.