Missed DCIS microcalcifications

Case contributed by Stefano Pacifici
Diagnosis certain

Patient Data

Age: 70 years
Gender: Female

Original mammogram


Mammography (report BIRADS 1). Further assessment with ultrasound recommended on the grounds of dense fibroglandular tissue. 

Mammograms only available on CD-ROM (JPEG) were re-evaluated and properly processed, revealing the presence of multiple foci of microcalcifications.

Previous screening mammograms to compare aren't available . 

Workup targeted mammograms

Annotated image

Patient  underwent targeted magnification mammograms properly processed  that reveals multiple foci of microcalcifications bilaterally. 

Case Discussion

This patient was referred to a breast surgeon after an MRI (not shown). Histology was DCIS - multicentric, multifocal, bilateral. 

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