<prompt> A 60 year old lady comes with blood stained discharge from the nipple with family history of breast cancer. Next best step for her will beDuctoscopyNipple discharge cytologySono-mammogramMRI  <response>: Ans. d MRIRef Schwart 10th edition Page 527 Mammography - IOC for women 35 years Mammography - IOC for Screening purpose MRI- IOC for screening in High risk Women Mammography - IOC for detecting Ductal carcinoma In-situ lesions Mammography - IOC to detect Micro calcifications Which is the only feature for DCIS USG - IOC for women 35 years MRI - IOC for Implanted breasts MRI - IOC for doing Breast Conservative surgery in Cancer breast MRI - IOC for Scarred breast PET scan - IOC for detecting local and distant recurrences 