A 66 year old woman with two sisters with breast CA and no previous breast imaging.
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On the initial study there is a group of heterogenous microcalcifications inferiorly in the left breast. Mag views included; they are highly suggestive of DCIS. Confirmed on stereotactic biopsy.
But if you look carefully a spiculated density is also present superiorly in the left breast (see annotated image)