Image IQ: 57-year-old with Dense Breasts, Spiculated Mass

Poll

A 57-year-old female presents for a screening mammogram. The patient has heterogeneously dense breasts. The patient also has a digital breast tomosynthesis study. In the left upper inner quadrant a spiculated mass is seen.

Click on the images to enlarge.

What is your diagnosis?

Fibrocystic changes
Pseudoangiomatous stomal hyperplasia (PASH)
Infiltrating ductal carcinoma
Radial scar

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