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Case 01

Contributed by Jordana Phillips MD

Updated December 2021

A 56-year-old woman with new diagnosis of right breast DCIS (calcifications marked by dumbbell clip) presenting for CEM for extent of disease. Clip in the deeper portion of the right breast was benign.

Instruction: Look at the images below and answer the question that follows.

Diagnostic CEM

To see RECOMBINED IMAGES: Click the recombined buttons

To MAGNIFY: Click         or press Control + Wheel Scroll

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>> Click for Prior Imaging

Screening Mammogram from 4 years ago.

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>> Click for Diagnostic Mammogram

These were the initial magnification views performed as part of the diagnostic work-up. These images show well the morphology of the calcifications.

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MAG CC
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MAG 90
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Question

What is the best next step?

Return to screening

Surgical excision

Follow-up Mammogram

MRI

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