Abstract
Contrast-enhanced spectral mammography (CESM) is a relatively new breast imaging modality that provides morphological and functional information. It has proven useful in different clinical scenarios (symptomatic patients, inconclusive findings on other imaging tests, known neoplastic disease) and constitutes a valid alternative to MRI. Structured reports have been successfully implemented in breast imaging since the BI-RADS was adopted. The use of standardized language facilitates communication among professionals and promotes the optimal characterization of the findings. This standardization also enables recommendations for the management and monitoring of results. Since CESM is a relatively new technique, there is no specific BI-RADS lexicon for its interpretation. Various authors have proposed approaches to reporting CESM; the most widely accepted of these combines reporting high- and low-energy images together according to the BI-RADS lexicons for mammography and MRI.
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