0:00

This case is a, uh, screening

0:02

mammogram from a 50-year-old patient.

0:07

Looking overall, we have good image quality,

0:11

right, good pectoralis muscles bilaterally, good

0:14

IMFs, and nipple in profile in the right breast.

0:18

On the MLO view, you can see

0:20

there's a clip from previous biopsy.

0:24

Let's first start looking at the craniocaudal views.

0:29

Left breast is negative with a few couple,

0:33

I think, coarse heterogeneous calcifications in the

0:36

medial aspect of the right breast. There's a grouping of

0:39

calcifications here, which look a little bit smaller

0:43

than these, uh, coarse heterogeneous calcifications

0:45

and are therefore a little bit more suspicious.

0:49

I pull down the...

0:55

These coarse calcifications are here, a little

0:58

more posterior, but a little more difficult to see

1:01

where this small grouping of calcifications is.

1:05

It's hiding, or they are hiding down here, uh, in a

1:08

more sort of inferior aspect of the right breast.

1:11

And therefore, these calcifications would

1:12

be, uh, considered, they'll be around four

1:15

o'clock or three o'clock in the right breast.

1:17

Of course, this is an MLO view, and if they're

1:19

medial, we expect 'em to rise on the ML

1:22

view, so they'll be a little bit higher up.

1:23

So we'd probably say this

1:24

is right breast three o'clock.

1:27

She's recommended for diagnostic

1:28

mammogram for further evaluation.

1:31

So we'll pull over the magnification views of

1:34

the right breast, and on the CC, I'm gonna make

1:37

this quite a bit larger so we can see them.

1:39

You can see some subtle...

1:41

Amorphous calcifications here in the medial breast.

1:44

These likely correspond to the small calcifications

1:47

we saw on the screening CC view. On the ML view,

1:52

um, we can see that grouping of calcifications,

1:54

and we see that here, that it's approximately

1:56

the level of the nipple, as we expected.

1:58

So this would be right, three o'clock.

2:00

Really zoom in on these calcifications though.

2:02

Uh, we can see that there are several of them

2:05

that demonstrate, uh, a layering appearance

2:07

or a teacup appearance on this lateral view.

2:09

And those are therefore milk of calcium,

2:11

uh, calcifications in our eye.

2:13

The patient can return to routine screening.

Calcifications - Typically Benign - Milk of Calcium - Case 1

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0:00

This case is a, uh, screening

0:02

mammogram from a 50-year-old patient.

0:07

Looking overall, we have good image quality,

0:11

right, good pectoralis muscles bilaterally, good

0:14

IMFs, and nipple in profile in the right breast.

0:18

On the MLO view, you can see

0:20

there's a clip from previous biopsy.

0:24

Let's first start looking at the craniocaudal views.

0:29

Left breast is negative with a few couple,

0:33

I think, coarse heterogeneous calcifications in the

0:36

medial aspect of the right breast. There's a grouping of

0:39

calcifications here, which look a little bit smaller

0:43

than these, uh, coarse heterogeneous calcifications

0:45

and are therefore a little bit more suspicious.

0:49

I pull down the...

0:55

These coarse calcifications are here, a little

0:58

more posterior, but a little more difficult to see

1:01

where this small grouping of calcifications is.

1:05

It's hiding, or they are hiding down here, uh, in a

1:08

more sort of inferior aspect of the right breast.

1:11

And therefore, these calcifications would

1:12

be, uh, considered, they'll be around four

1:15

o'clock or three o'clock in the right breast.

1:17

Of course, this is an MLO view, and if they're

1:19

medial, we expect 'em to rise on the ML

1:22

view, so they'll be a little bit higher up.

1:23

So we'd probably say this

1:24

is right breast three o'clock.

1:27

She's recommended for diagnostic

1:28

mammogram for further evaluation.

1:31

So we'll pull over the magnification views of

1:34

the right breast, and on the CC, I'm gonna make

1:37

this quite a bit larger so we can see them.

1:39

You can see some subtle...

1:41

Amorphous calcifications here in the medial breast.

1:44

These likely correspond to the small calcifications

1:47

we saw on the screening CC view. On the ML view,

1:52

um, we can see that grouping of calcifications,

1:54

and we see that here, that it's approximately

1:56

the level of the nipple, as we expected.

1:58

So this would be right, three o'clock.

2:00

Really zoom in on these calcifications though.

2:02

Uh, we can see that there are several of them

2:05

that demonstrate, uh, a layering appearance

2:07

or a teacup appearance on this lateral view.

2:09

And those are therefore milk of calcium,

2:11

uh, calcifications in our eye.

2:13

The patient can return to routine screening.

Report

Faculty

Ryan W. Woods, MD, MPH

Assistant Professor of Radiology

University of Wisconsin School of Medicine and Public Health

Lesson

Pre-Course Activities

Lesson

Introduction to Tomosynthesis

Lesson

Approach to Interpretation and Lesion Localization

Lesson

Normal Imaging Findings

Lesson

Asymmetries and Masses

Lesson

Gynecomastia

Lesson

Fat-containing Lesions

Lesson

Architectural Distortion

Lesson

Calcifications

Lesson

Associated Findings

Lesson

Postsurgical Findings

Calcifications - Typically Benign - Milk of Calcium - Case 1