Calcifications

Question 1

Benign (9 types)

Answer 1

Skin
Vascular
Coarse/popcorn
Large-rod
Round
Rim
Dystrophic
Milk of Ca
Suture

Question 2

Dystrophic

Answer 2

Site of surgical scar or radiation

Large >1mm, Irregular, Lucent center

Question 3

Rim

Answer 3

Non-grouped, <1mm in thickness
Round/oval lucent centers
Ca deposits on surface of a sphere
Usually oil cyst/fat necrosis or calcified cyst

Question 4

Round

Answer 4

-Punctate is a subset
-These are usually benign but if new or in a different distribution, may warrant additional evaluation
-

Question 5

Skin

Answer 5

Tightly grouped lucent-centered. If not lucent centered and amorphous looking, an intradermal location hints at diagnosis but you need tangential views at least to support that diagnosis

Question 6

Vascular

Answer 6

Parallel tracks of ca in the wall of blood vessels. Sometimes you can see linearly ca which could be intraductal. Do spotmag for further evaluation

Question 7

Coarse or popcorn like

Answer 7

peripheral location in a circumscribed mass. appears confluent. Usually indicates a fibroadenoma.

Question 8

Large rod-like

Answer 8

Associated with ductal ectasia. Can be solid/discontinuous. Some can be periductal (wall of duct) or intraductal. They radiate towards the nipple, can branch.

Older women