Presentation
Magnification view left breast workup micro-calcifications.
Patient Data
Gender: Female
From the case:
Fat necrosis left breast
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Note the lucent pools of fat necrosis with peripheral punctate calcifications.
Case Discussion
There is no way you are going to confuse these calcifications with potentially malignant disease. The peripheral distribution around the pools of fat necrosis are a dead give away.
Fat necrosis is a potential trap for breast imagers. A high index of suspicion helps. The process can change over years so do not assume that because there is change, its sinister. Careful comparison with previous is essential. Look out for lucent pools of fat.