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Case 22 Answer
BI-RADS 4, Suspicious. These calcifications are clustered and pleomorphic. If you said BI-RADS 5, that is acceptable. As has been mentioned in earlier cases, many mammographers (including this author) use BI-RADS 5 only when we are sure it is cancer (as I've mentioned--I'll eat my hat if it's not malignant. ie. You can go ahead and schedule a surgical referral today). Since I have been surprised quite a few times at how suspicious in appearance benign calcifications can be, I would not use BI-RADS 5 in this particular case.
The patient was scheduled for a stereotactic biopsy. What approach would you use?