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

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

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

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do additional views to determine the morphology of this finding.

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

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views. We do a true lateral and a cranial caudal

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

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

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

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

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

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

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So this spans a little bit over a centimeter.

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

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first note what the individual calcifications look like compared to the

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

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

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

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thinking about pleomorphic calcifications or heterogeneous calcifications,

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

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

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

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

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

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

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

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

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

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a centimeter, so the distribution would be grouped.

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

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

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

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

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

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

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

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

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

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patient then return to screening.

Report

Faculty

Emily B. Ambinder, MD

Assistant Professor - Breast Imaging Division

The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medicine

Tags

Mammography

Breast

Acquired/Developmental

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