Case 56 Answer

BI-RADS 4, Suspicious. There are even more calcifications than we could see on the screening views, and they are all different shapes and sizes (heterogeneous or pleomorphic). There is even one or two linear calcifications, we must be suspicious of those.

They clearly are NOT all round or oval, and thus cannot be "Probably Benign."

A stereotactic biopsy showed calcifications in ducts associated with atypical ductal hyperplasia (ADH) AND with a papilloma. Lets look at these results separately:

If a stereotactic biopsy yields ADH, what is your recommendation?