In this Issue: January 2021

I am honored to have the opportunity to serve as the guest editor for this breast-focused issue of JAOCR; however, no task is ever accomplished alone. I would like to thank my colleagues in breast imaging at The University of Alabama at Birmingham (UAB) for their camaraderie and work on several articles in this issue. My colleagues and mentors from Penn State Health Milton S. Hershey Medical Center also provided interesting and insightful contributions in addition to helping with the dedication of this issue. The brainstorming, writing, and editorial process has been at times stressful yet immensely enjoyable. I am so grateful to have accrued an energetic, enthusiastic, and articulate group of authors who have shared their wealth of knowledge. We hope that the readers find this issue thought-provoking and valuable for daily practice.

The issue begins with a review of two different but similarly complicated topics of breast radiology. These manuscripts were written through the efforts of myself, colleagues at UAB, and several trainees (UAB, Brookwood Baptist Health, and abroad). The first review article tackles the topic of high-risk breast lesions, providing a brief overview of the pathologies, corresponding images, and management goals for each. Our second review article examines the topic of nipple discharge, outlining the multiple manifestations of discharge encountered in a breast radiology clinic. A literature review was performed to create an evidence-based management algorithm. While nipple discharge is a heavily debated topic, we hope this summary helps direct some of the more complicated aspects of assessment and imaging.

Our differential case-based reviews include presentations of both benign inflammatory conditions of the breast and enhancing foci on breast MRI, interesting topics that sometimes create diagnostic dilemmas. Last but not least, the At the Viewbox cases present rare but important pathologies including breast implant-associated lymphoma, amyloid, and granular cell tumors.

Finally, this issue would never have happened had it not been for the inspiration of Dr. Susann Schetter (March 24, 1955 - December 24, 2018), who introduced me to JAOCR in 2014. I would like to thank Dr. Wale and the editorial committee for their kindness and generosity in allowing me to dedicate this issue to Dr. Schetter, my fellowship director, mentor, and friend.