60-year-old woman for 6 month follow up of probably benign calcifications in right breast
HIDEInteractive Transcript
0:00
So our first case in this category is a 60-year-old
0:03
woman for a six-month follow-up of probably
0:06
benign calcifications in the right breast.
0:10
So here's our patient, bilateral mammographic
0:13
views from her baseline screening, and she
0:17
was recalled at that time for evaluation of
0:20
calcifications in the posterior right breast.
0:26
So the area of interest was very far posterior.
0:31
She has some other scattered calcifications,
0:34
but the area for follow-up was this
0:37
little group of calcifications.
0:40
There are several calcifications almost
0:42
forming a little circle there, and they're in
0:44
the medial right breast, very far posterior.
0:50
And this is where they were thought to be kind of
0:54
overlying the pectoralis muscle on the other view.
0:58
So our job was to follow these.
1:01
Which we did, and this, the new
1:05
magnification view, I would say this
1:08
little group of calcifications is stable.
1:12
Difficult to see these on the other view,
1:16
but we thought it was probably here, right in here.
1:20
They're so far posterior that it's,
1:22
it's difficult to actually get images of them.
1:25
But we felt that these were stable compared to
1:28
the prior exam, and this fits into one of the
1:32
BI-RADS three categories on mammography of the
1:36
grouped round calcifications, and they're stable.
1:40
And it's interesting that the patient is a
1:44
postmenopausal older patient, but the previous
1:46
six-month exam had been her baseline mammogram.
1:50
So following up from a
1:52
baseline mammogram, no change.
1:54
We can continue to follow up.
1:56
So our next follow-up would be in six months,
1:58
and we would do a bilateral diagnostic
2:01
mammogram for her with magnification views.
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
© 2024 MRI Online. All Rights Reserved.