0:00

Our next patient is an 80-year-old woman

0:03

with a history of benign stereotactic

0:05

biopsy of calcifications in the left

0:07

breast, and she's coming in for follow-up.

0:12

So we have CC and MLO views of this

0:15

patient, and her biopsy was on the

0:18

left side, and it was actually for some

0:22

calcifications in the central breast.

0:26

She has a couple of biopsy clips, this sort

0:28

of O shape and a different one over here.

0:32

And when we look back at the biopsy report,

0:34

it was the top hat-shaped clip that was placed.

0:38

So it was this one.

0:40

And it looks like that clip has migrated

0:42

a little bit toward the medial side.

0:46

And I usually will go back and check the

0:49

pathology on the previous biopsy report, whether

0:53

I feel like I'm satisfied that calcifications

0:56

were retrieved, you know, if there's a clip

0:59

migration, I kind of want to know about that.

1:02

So here's the image before

1:05

the biopsy was performed.

1:07

There were calcifications here.

1:11

This was the group of calcifications and

1:14

some of those were recommended for biopsy.

1:16

So we know that after.

1:18

The biopsy was performed,

1:21

the calcifications decreased.

1:23

So I think some of the

1:24

posterior ones were taken out.

1:26

So even though the clip has migrated,

1:28

we know that the calcifications were sampled,

1:31

and those were benign calcifications.

1:34

The result of the biopsy was fibroadenomatoid

1:38

change with associated stromal calcifications.

1:41

So that's, um, Concordant, but I always like

1:43

to check that if I'm following a biopsy,

1:46

particularly if there was a migration of the clip.

1:50

So this patient we would send back to screening

1:53

in a year unless there's something new that

1:56

we find in this breast or the other breast.

80-year-old woman with history of benign stereotactic biopsy of calcifications, for follow up

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0:00

Our next patient is an 80-year-old woman

0:03

with a history of benign stereotactic

0:05

biopsy of calcifications in the left

0:07

breast, and she's coming in for follow-up.

0:12

So we have CC and MLO views of this

0:15

patient, and her biopsy was on the

0:18

left side, and it was actually for some

0:22

calcifications in the central breast.

0:26

She has a couple of biopsy clips, this sort

0:28

of O shape and a different one over here.

0:32

And when we look back at the biopsy report,

0:34

it was the top hat-shaped clip that was placed.

0:38

So it was this one.

0:40

And it looks like that clip has migrated

0:42

a little bit toward the medial side.

0:46

And I usually will go back and check the

0:49

pathology on the previous biopsy report, whether

0:53

I feel like I'm satisfied that calcifications

0:56

were retrieved, you know, if there's a clip

0:59

migration, I kind of want to know about that.

1:02

So here's the image before

1:05

the biopsy was performed.

1:07

There were calcifications here.

1:11

This was the group of calcifications and

1:14

some of those were recommended for biopsy.

1:16

So we know that after.

1:18

The biopsy was performed,

1:21

the calcifications decreased.

1:23

So I think some of the

1:24

posterior ones were taken out.

1:26

So even though the clip has migrated,

1:28

we know that the calcifications were sampled,

1:31

and those were benign calcifications.

1:34

The result of the biopsy was fibroadenomatoid

1:38

change with associated stromal calcifications.

1:41

So that's, um, Concordant, but I always like

1:43

to check that if I'm following a biopsy,

1:46

particularly if there was a migration of the clip.

1:50

So this patient we would send back to screening

1:53

in a year unless there's something new that

1:56

we find in this breast or the other breast.

Report

Faculty

Lisa Ann Mullen, MD

Assistant Professor; Breast Imaging Fellowship Director

Johns Hopkins Medicine

Lesson

Sample Lesson

Lesson

Palpable Lumps

Lesson

Breast Pain

Lesson

Nipple Discharge

Lesson

Skin Changes/Inflammation

Lesson

Recall from Screening

Lesson

Surveillance After Breast Cancer Treatment

Lesson

Follow Up Probably Benign Findings - BI-RADS 3

Lesson

Follow up Benign Biopsy

Lesson

Pregnant and Lactating Women

Lesson

Male Patients

80-year-old woman with history of benign stereotactic biopsy of calcifications, for follow up