Case 5 Answer

This cluster of calcifications is best described as punctate and amorphous. Punctate calcifications are tiny round dots. Amorphous calcifications "lacking shape" appear smudgy and poorly-defined on both CC and Lateral views.

If you said pleomorphic, you are not all that far off, but these do not quite have the multi-shaped dot-dashed appearance that fits the classic description of DCIS.

 

If you said round and coarse, well, you're a little off track. Check out this case to see several examples of classic benign calcs: Case 33

So, all that said, what is your recommendation?
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