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Image IQ: 42-year-old with Architectural Distortion on Breast Tomo

Poll

A 42-year-old woman presents for baseline screening mammography and a combination digital breast tomosynthesis study is performed. She has a positive family history for breast cancer. 

Dense glandular tissue is noted on mammography, as well as an area of architectural distortion in the left breast. This is best demonstrated on digital breast tomosynthesis (arrows).

Click on each image to enlarge.

What is your diagnosis?

Carcinoma
Fat necrosis
Radial scar
Post-surgical changes
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