0:01

This is another case of a baseline screening mammogram. This is in the

0:05

patient's left breast. There were calcifications that were noted in the

0:11

upper outer quadrant. This was given a BI RADS 0 so we could

0:17

do additional views to determine the morphology of this finding.

0:23

So when we have calcifications, we get these special views called magnification

0:28

views. We do a true lateral and a cranial caudal

0:34

magnification view to allow us to see the morphology of the finding. Here

0:40

we see those calcifications. They may be a little bit subtle on the

0:46

monitor. They are little dots, little white dots that we're seeing here.

0:52

And each of the dots looks similar to the other ones.

0:58

I would describe this morphology as being punctate or round calcifications.

1:03

It's important to also note how large of an area the calcifications span.

1:10

So this spans a little bit over a centimeter.

1:18

When I'm looking at the calcifications, I want to, like I said,

1:22

first note what the individual calcifications look like compared to the

1:26

other ones. Do they all look the same or do they look different

1:28

from each other? Like I said, I think these all look like

1:32

little dots. If they look different from each other, then I would be

1:35

thinking about pleomorphic calcifications or heterogeneous calcifications,

1:39

which are more suspicious descriptors. When they look like small dots, I

1:43

can call them punctate or round calcifications. I also want to look at

1:48

how the calcifications look on the two different views. So on the left is

1:52

our lateral view and on the right is our CC view. And I

1:57

want to see if they look similar on the two views or if

2:01

they look like they're layering on the lateral view. Layering is a common

2:06

benign finding that we'll see. And if the calcifications look like they're

2:10

layering, we can give this a BI RADS 2. These really look similar

2:14

on the two views. And they are spanning about a centimeter, a little over

2:21

a centimeter, so the distribution would be grouped.

2:25

These are grouped round or punctate calcifications that we saw on a baseline

2:29

screening mammogram. This is the second good indication for a BI RADS 3.

2:35

So this was given a BI RADS 3. We had the patient follow

2:39

up recommended for six months, 12 months, and two years.

2:43

This is the two year follow up CC view. And we see those

2:49

calcifications again. I can zoom in so they're kind of looking at

2:54

the same size, but we saw no significant changes in our two years

2:58

of follow up. So after the two years of follow up,

3:01

we were able to give this a BI RADS 2 and have the

3:04

patient then return to screening.