DCIS breast - mammogram-ultrasound correlation

Case contributed by Garth Kruger
Diagnosis almost certain

Presentation

Imaging findings on screening mammography.

Patient Data

Gender: Female

Calcifications suggestive of DCIS.

Annotated image

Small echogenic foci (arrow) indicating calcifications suspicious for DCIS. 

Case Discussion

The case illustrates that foci of DCIS are actually visible on high-end ultrasound apparatus with sufficient effort. If the apparatus is good enough dedicated sonographers can find these foci making them amenable to ultrasound-guided biopsy.

This case was sampled under ultrasound guidance confirming the diagnosis of DCIS.

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