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Fig. 4. 77-year-old woman with calcifications caused by ductal carcinoma in
situ (DCIS). Global magnification mammogram in true lateral projection shows
several groups of calcifications (arrows) due to multifocal DCIS. One
observer considered these coarse in morphology, multiple groups in
distribution, and probably benign (short-term follow-up recommended, BI-RADS
category 3). Another considered these to be punctate, multiple groups, and
suspicious (biopsy recommended, BI-RADS category 4). Three observers
considered these pleomorphic (one clustered, one linearly distributed, and one
multiple groups) with assessments suspicious (BI-RADS category 4), highly
suggestive of malignancy (BI-RADS category 5), and needs additional evaluation
(BI-RADS category 0), respectively.
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