Heterogenous dense breast parenchymal pattern (type C).
There is an opacity noted at the right lower inner quadrant near to the chest wall with associated pleomorphic microcalcifications. Adjacent scattered uniform macrocalcifications also seen at right lower inner quadrant.
No architectural distortion seen.
Few shotty axillary nodes with preserved central fatty hilum noted.
Impression:
Biopsy-proven Paget disease with associated mammographic findings suspicious malignant breast lower inner quadrant lesion with microcalcifications - BIRADS IVc