0:00

So case five is a 55 year old

0:03

screening call back. We don't have any prior images.

0:08

So what is the pirate's assessment

0:11

and descriptor for these calcifications? So the

0:14

answer to this question is find linear

0:17

calcifications.

0:21

Here you could see there are fine linear calcifications,

0:24

but it's not at the periphery of

0:27

a tubular structure. Excuse me.

0:33

It's not at the periphery of a tubular structure.

0:37

So this becomes a pirates for lesion.

0:40

So the same thing if you look at it you could

0:43

see these calcifications are actually necrosis

0:46

filling the Lumen of

0:49

the duct here the big one right here.

0:52

You could see that these are necrosis filling

0:55

the Lumen of the duct. The bottom one is a picture from

0:58

tabar that you could see eventually these calcification

1:01

that I showed could eventually fill

1:04

the entire duct and Dr.

1:07

Tabar calls it as snake skin

1:10

calcifications.

1:15

A companion case here is a new calcification seen

1:18

on screening mammography shows linear

1:21

calcification and there

1:24

is a suggestion that it's part of a nearby tubular structure

1:27

again at the periphery of the tubular structure

1:30

and thought to be evolving vascular calcifications

1:33

and on the follow-up exam.

1:36

You could see the classic Triumph track

1:39

appearance of the vascular calcifications.