MAMMOGRAPHY REGISTRY ACTUAL EXAM
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Which view visualizes posterial medial aspects of both breasts
simultaneously? Answer: CV-cleavage view
◍ Which view improves resolution of the superior aspect of the
breast? Answer: FB-From Below
◍ Which view isolates the axillary Tail of Spence in an oblique
projection? Answer: AT-Axillary Tail
◍ Which view helps with tissue inclusion in special circumstances
and is known as the true reverse oblique? Answer: LMO-
Maximizes tissue inclusion in special circumstances such as pectins
excavatum or to reduce discomfort, such as medical devices.
◍ What percentage of patients will you visualize pectoral muscle on
the CC view? Answer: 30 -40%
◍ What is the main purpose of conducting a CC view? Answer: To
visualize medial tissue, mid breast, retro-areolar and some lateral
tissue.
,◍ Which views are obtained at the time of screening, in addition to
the CC and MLO to include normal anatomy? Answer:
SUPPLEMENTAL VIEWS
May be needed to include normal anatomy.
May be obtained at the time of the screening without radiologist
approval.
XCCL most common.
◍ What is the most commonly performed diagnostic view? Answer:
90 degree laterals- ML and LM
◍ What is the most commonly performed supplemental view?
Answer: XCCL-exaggerated cranial caudal.
◍ What view uses the standardized labeling code FB? Answer: From
Below
◍ On the lateral to medial projection, which part of the breast is
better visualized? Answer: The medial because this is the closest
breast tissue to the image detector.
◍ Which views are best used for Triangulation and demonstrating
gravity dependent calcifications? Answer: LM-ML-
1. Triangulation: when a lesion is seen well on the MLO but not on
the CC obtaining 90* lateral may help determine location in the CC
using triangulation principles.
, 2. Gravity Dependent.
◍ On the MLO, to what level should the pectoral muscle be
visualized? Answer: To the level of the nipple or PNL.
◍ The PNL, should be no more than how many cm difference
between the MLO and the CC? Answer: 1 cm
◍ On the CC view, what breast tissue has limited visualization?
Answer: Lateral tissue
◍ When imaging a woman with immobile breast implants and the
displaced view is not possible what additional view should you
perform? Answer: Perform a 90* Lateral.
When imaging patients with immobile implants - these will not
displace.
If unable to displace, add a 90* lateral for maximum tissue inclusion.
Tissue will still be obscured by implant.
◍ What side of the patient should you position the CC from? Answer:
Medial.
Since the purpose of the CC is to visualize medial tissue, if you stand
on the lateral side of the patient when positioning, you will not be
able to see if you have all of the medial tissue.
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Which view visualizes posterial medial aspects of both breasts
simultaneously? Answer: CV-cleavage view
◍ Which view improves resolution of the superior aspect of the
breast? Answer: FB-From Below
◍ Which view isolates the axillary Tail of Spence in an oblique
projection? Answer: AT-Axillary Tail
◍ Which view helps with tissue inclusion in special circumstances
and is known as the true reverse oblique? Answer: LMO-
Maximizes tissue inclusion in special circumstances such as pectins
excavatum or to reduce discomfort, such as medical devices.
◍ What percentage of patients will you visualize pectoral muscle on
the CC view? Answer: 30 -40%
◍ What is the main purpose of conducting a CC view? Answer: To
visualize medial tissue, mid breast, retro-areolar and some lateral
tissue.
,◍ Which views are obtained at the time of screening, in addition to
the CC and MLO to include normal anatomy? Answer:
SUPPLEMENTAL VIEWS
May be needed to include normal anatomy.
May be obtained at the time of the screening without radiologist
approval.
XCCL most common.
◍ What is the most commonly performed diagnostic view? Answer:
90 degree laterals- ML and LM
◍ What is the most commonly performed supplemental view?
Answer: XCCL-exaggerated cranial caudal.
◍ What view uses the standardized labeling code FB? Answer: From
Below
◍ On the lateral to medial projection, which part of the breast is
better visualized? Answer: The medial because this is the closest
breast tissue to the image detector.
◍ Which views are best used for Triangulation and demonstrating
gravity dependent calcifications? Answer: LM-ML-
1. Triangulation: when a lesion is seen well on the MLO but not on
the CC obtaining 90* lateral may help determine location in the CC
using triangulation principles.
, 2. Gravity Dependent.
◍ On the MLO, to what level should the pectoral muscle be
visualized? Answer: To the level of the nipple or PNL.
◍ The PNL, should be no more than how many cm difference
between the MLO and the CC? Answer: 1 cm
◍ On the CC view, what breast tissue has limited visualization?
Answer: Lateral tissue
◍ When imaging a woman with immobile breast implants and the
displaced view is not possible what additional view should you
perform? Answer: Perform a 90* Lateral.
When imaging patients with immobile implants - these will not
displace.
If unable to displace, add a 90* lateral for maximum tissue inclusion.
Tissue will still be obscured by implant.
◍ What side of the patient should you position the CC from? Answer:
Medial.
Since the purpose of the CC is to visualize medial tissue, if you stand
on the lateral side of the patient when positioning, you will not be
able to see if you have all of the medial tissue.
