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Case 07

Contributed by Jordana Phillips MD

Updated December 2021

63-year-old recalled for questioned left breast distortion seen on screening.

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 Diagnostic Mammogram

Left CC and MLO spot compression views were performed and confirmed distortion was present in the upper outer left breast. They are not shown here because the distortion is not easy to appreciate on this viewer.

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>> Click for Diagnostic Ultrasound

Targeted ultrasound was performed of the upper outer left breast and no obvious correlate could be found for the distortion or non-mass enhancement.

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Question

What is the next best step?

Return to screen

Breast MRI

Tomosynthesis-guided biopsy

Localization

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