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Good afternoon. My name is

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Jean kunjamin today. We're going to talk about

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the breast calcifications and

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how do you manage breast calcifications?

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I don't have any disclosures.

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So case one is a 45 year old called

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back from screening for new Regional calcifications.

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So magnification CC

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and 90 degree views are

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provided.

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So the question is what is the appropriate Pirates assessment

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for these new Regional calcifications?

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Great. So here you see smudgy hard

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to see calcifications on

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the CC View.

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and it changes shapes to curvilinear or

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crescent shape on magnet view

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these calcifications that can see

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Are conforming to the

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inferior portion of the microsys and these

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are milk of calcium and it's

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typically benign. So the answer for the

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question number one is Pirates two

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benign finding.

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this is almost classic for

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Milk of calcium, so it would not be considered

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by Red's three where it's

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probably benign and it is

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definitely not pirates for as

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I said, it's almost classic for milk of calcium.

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And and Barat

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zero is surgical consult. We usually

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don't do surgical consult for regional calcification

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scene on mammography.

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So here you could see how the calcifications

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are smudgy on CC view, but it's

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layering on the 90 View and it is

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milk of calcium. If you don't have the

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classic milk of calcium, and if you're considering the

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possibility of milk of calcium, you can

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use a tip called delayed magnification view

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where you put the patient under light compression

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on the 90 degree view for about three to

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four minutes. And then you take the magnification 9g view

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again. What it does is like this gives time for

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these calcifications to sediment within

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those microsys. And therefore you can see

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more calcifications layering on the delayed magnification

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View.

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So here's a case where dcis can look

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like milk of calcium, but when you look at

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the magview's closely you could see.

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The teach cup shape is seen on the CC

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view rather than on 90 View and

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there's no change in shape between the

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CC and the 90 View. The second thing

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is it's linear or straight in distribution.

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So both of these worrisome features

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should prompt biopsy.