Presentation
Routine follow-up
Patient Data
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Right
Soft tissue masses: scattered, round, of varying sizes - known cysts
Calcifications: scattered, delicate
Fibroglandular tissue: normal
Skin and nipple shadow: normal
BI-RADS 2 - benign
Left
Soft tissue masses: scattered, round, diameter between 2-33 mm - known cysts
Calcifications: scattered, delicate
Fibroglandular tissue: normal
Skin and nipple shadow: normal
BI-RADS 2 - benign
On the enlarged views (not magnifications but on-screen 250% blow-ups) centered on the fibroglandular tissue of the left breast, one can see milk of calcium sedimentation in many tiny cysts as rounded smudges on the craniocaudal (CC) view, teacup-shaped foci (i.e. shaped like a segment of a circle) on the lateral view due to cyst-milk of calcium levels, and something in-between on the the mediolateral (MLO) view, with some showing levels on the MLO view as well.
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The arrows point to several of the milk of calcium-containing cysts on each of the enlarged views.
Case Discussion
Milk of calcium in breast cysts is quite a common finding on mammography and is a reassuring feature of benignity.
I wish to thank Dr. Arie Rundstein for providing this case.
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