Findings
CC view of mammogram showing focal area of microcalcifications in lateral aspect of left breast. In magnified view , teacup calcifications & milk of calcium with layering appearance are seen.
Answer
Fibrocystic disease of left breast (biopsy proven)
Discussion
Fibrocystic change of the breast is a benign alteration in the TDLU with or without associated fibrosis. Usually seen between 20- 40 years of age,peak before or at menopause. Clinical manifestations include palpable lumps with breast pain or tenderness. Ultrasound -appearances are not specific enough to differentiate them from other breast lesion. Imaging features includes scattered echogenic foci (calcifications), simple or complicated cysts. Cluster of cysts with clustered micro-cysts can also be seen. Mammography shows heterogeneously dense parenchyma of the breast , partially circumscribed masses are seen which reflects cysts. Tea-cup, low-density round calcifications are seen in multiple lobes
Reference
Malherbe K, Khan M, Fatima S. Fibrocystic Breast Disease. [Updated 2022 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551609/ radiologykey.com/fibrocystic-change
