41 year old with proven left DCIS presents for additional imaging of left breast. Recent breast MRI (10/7/15) demonstrated an extensive non-mass enhancement in the left breast anteriorly from the biopsy site. Two spot magnification views of the left breast were performed digitally. There are loosely clustered calcifications at anterior 12:00 position in the left breast, likely corresponding to the area of clumped non-mass enhancement on the MRI. With focused ultrasound, biopsy changes are detected at 1:00 position, 3 cm fro nipple. No other definite abnormal findings are detected with this ultrasound study.
Loosely clustered calcifications at anterior 12:00 position in the left breast, likely corresponding to the area of clumped non-mass enhancement on the MRI. Stereotactic biopsy of those calcifications are recommended. Results and recommendations were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.