0:01

Here's another patient that was recalled from a

0:03

baseline screening mammogram for calcifications, and

0:07

my left image is the callback mammogram magnification

0:11

CC view. And I know it's... the images are definitely

0:16

harder to see on probably your home computer than

0:19

if you were using a breast imaging monitor,

0:22

but hopefully, you can see this group of round and

0:25

punctate calcifications in the outer breast here.

0:30

And this was on a baseline exam. There was

0:32

just an isolated group, the morphology on

0:35

this magnification view is round and punctate.

0:39

So this was appropriately

0:41

given a BI-RADS 3 assessment,

0:43

and the patient came back in six months.

0:46

So my image on the right is the same

0:49

magnification CC view at the six-month

0:54

follow-up appointment, and the calcifications,

0:59

again, I think it's a little hard to see them,

1:01

but hopefully, they are projecting okay on your monitors.

1:04

But they have increased in number, and they have a more

1:07

amorphous look than what they did on their prior exam.

1:11

So given this change on the 6-month follow-up, they

1:15

were recommended for biopsy, and the biopsy resulted in

1:20

flat epithelial atypia and

1:23

atypical lobular hyperplasia.

1:25

So, as a high-risk lesion, it was

1:28

recommended for surgical excision.

1:31

These were excised, and there was no malignancy on the

1:35

surgical biopsy, and the atypia was completely removed.

1:41

So this is when we're doing the 6-month follow-up.

1:43

This is an example of a change that would

1:45

cause us to change our recommendation

1:47

from a BI-RADS 3 to a BI-RADS 4,

1:50

because amorphous group calcifications no

1:53

longer fit into that BI-RADS 3 category.

1:57

And so the radiologist appropriately recommended

2:00

biopsy, and we were able to diagnose this atypia.