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57-year-old woman recalled for calcifications in left breast

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Our next patient is a 57-year-old

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woman recalled for evaluation of

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calcifications in the left breast.

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So these are the screening views for

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this patient, and she does have bilateral

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calcifications, but there were some

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grouped calcifications in the left breast.

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So this is the group here.

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See them also on the MLO view, and of

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course, heterogeneous calcifications.

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And when we brought the patient back in from

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her recall, we did diagnostic views, including

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magnification views in CC and lateral projection.

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So here's the CC projection.

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You can see these grouped coarse

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heterogeneous calcifications.

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A few others out here.

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She does have other benign-appearing

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calcifications in this area, but these were

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new or increasing compared to her prior exam.

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Here they are on the lateral view,

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sort of coarse, heterogeneous,

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but they are magnified a little bit.

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So, we recommended these for biopsy; we would

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consider these to be a BI-RADS 4, suspicious.

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Sometimes ductal carcinoma

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in situ can look like this.

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And these were biopsied using mammogram guidance.

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The result was fibroadenoma with

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coarse stromal calcifications.

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So this was a benign finding, but at

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the time of her diagnostic examination,

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it was categorized as BI-RADS 4.

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Faculty

Lisa Ann Mullen, MD

Assistant Professor; Breast Imaging Fellowship Director

Johns Hopkins Medicine

Tags

Women's Health

Non-infectious Inflammatory

Mammography

Breast

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