200

Case 200

Case History

A 69-year-old woman presents for screening mammogram.

Physical Examination

• bilateral breast: multiple lumps

Mammogram

Calcifications (Fig. 200–1)

• type: pleomorphic/heterogeneous

• distribution: grouped/clustered

Figure 200–1. The right breast has a cluster of heterogeneous calcifications (circle) in the upper outer breast. These calcifications are associated with architectural distortion in the CC view. The left breast has multiple round and oval masses that have been stable for several years. (A). Right MLO mammogram. (B). Left MLO mammogram. (C). Right CC mammogram. (D). Left CC mammogram. (E). Right ML spot magnification mammogram.

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