Breast Imaging Reporting and Data System v2025: Key Updates in US

The Breast Imaging Reporting and Data System (BI-RADS^®) US lexicon is a well-established and comprehensive guide for image acquisition, lesion description, characterization, and reporting. BI-RADS^® v2025 includes multiple updates reflecting recent advances and practice changes in breast US. The BI-RADS^® v2025 edition includes an assessment of glandular tissue component in the tissue composition section and fine-tunes the US lexicon. The addition of a new category of non-mass lesion aids in the characterization of subtle findings that often correlate with imaging findings detected on other imaging modalities, and the discussion of lymph nodes has expanded in depth and scope. This article provides an overview of the changes introduced in BI-RADS^® v2025 US.