51 year old who is called back from screening mammogram for developing calcifications. Family history of mother and sister with breast cancer. An ML view and two spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. There are pleomorphic calcifications at posterior lower inner left breast, measuring 28 x 40 mm, distributing segmentally. No masses or distortions are associated with these calcifications.Focused ultrasound study was performed for the left breast lower inner quadrant. There are no solid or cystic masses. No increased blood flow is present.
Pleomorphic calcifications at lower inner quadrant in the left breast. Stereotactic core needle biopsy is recommended. Results and recommendations were discussed with the patient and her husband. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.