Case 52 Answer 2

This result is discordant. The calcifications that were targeted were not vascular calcifications, but were adjacent to a calcified vessel. Look back at the post-biopsy films to see that indeed that vessel was interrupted and there was a small hematoma. The core samples look vascular as well. Thus, a repeat biopsy should have been performed.

Alas, this patient was recommended to have a follow-up in 6 months. Here is that study:

Now what is your recommendation?

• Return to annual screening
• Repeat core biopsy
• Surgical excision
• MRI