Dystrophic calcifications within the breast are usually seen as small macrocalcifications with relatively smooth margins.
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Pathology
They are generally considered benign and can occur in a number of situations which include:
- evolving mammary fat necrosis
- post reduction mammoplasty 2
- post trauma
- post radiation therapy
- post silicone or paraffin injections
- secondary hyperparathyroidism
- underlying connective tissue diseases: typically occurs in subcutaneous distribution in this context with bilateral involvement 3
Radiographic features
- small macrocalcifications (>0.5 mm)
- irregular morphology
- smoothly marginated
- coalescent