Case 111
Case History
A 68-year-old woman has increasing calcifications on her screening mammogram. She has past history of lung cancer and bladder cancer. Stereotactic core needle biopsy of the calcifications was not conclusive so a needle localization and excisional biopsy were performed. Patient was unable to maintain an upright position for the needle localization, so sonographic guidance of the wire localization was performed.
Physical Examination
• normal exam
Mammogram
Calcifications (Figs. 111–1 and 111–2)
• type: fine linear/branching
• distribution: linear
Figure 111–1. In the 6:00 position of the left breast, there is a nodular density associated with linear calcifications (circled). (A). Left MLO mammogram. (B). Left CC mammogram. (C). Left CC magnification mammogram.

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