Case 35 Answer
For patients with palpable lumps, I generally recommend a standard protocol which includes spot compression magnification views (CC and Lat) of the lump and ultrasound in addition to the standard CC and MLO views. If the breasts are entirely fat density on standard views, then the spot mags and ultrasound are omitted.
The spot mags in this case were unrevealing. Often, however, these views show an underlying mass or calcifications within a mass. The ultrasound is presented here:
What is your overall assessment?