September 9, 2008 Diagnostic Imaging. Case of the Month -------------------------------------------------------------------------------- CLINICAL HISTORY A 70-year-old woman with a history of microcalcification of the right breast, lumpectomy, and whole-breast x-ray therapy on right side for microinvasive cancer presented for annual digital mammogram. FINDINGS Right breast: Category 3, probably benign finding. Postsurgical changes in the right breast are stable from prior examination on Sept. 26, 2007. Inferiorly within the right breast are two linear calcifications that were present on the prior exam, only one of which was present on Dec. 19, 2006. Small calcifications are identified throughout the breast, stable from prior imaging. Thus, with the patient's history of breast carcinoma, very close follow-up examination of this area is recommended with a three-month follow-up. Alternatively, further evaluation given the patient's history of breast carcinoma and this area of microcalcifications within the breast, MRI examination may also be useful as clinically indicated. This MRI examination took place two weeks later.
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