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Doubt regarding architectural distortion of the right upper lateral quadrant, corresponding to superimpositions with tomosynthesis.

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History

Systematic screening on hormone replacement treatment.
No personal or family history implying a risk at the breast level.


Findings

Digital mammograms show dense, type III breast tissue with very rare macro-calcifications, with no suspicious site of micro-calcifications.
Doubt regarding the architectural distortion of the right upper lateral quadrant, corresponding to superimpositions with tomosynthesis.
No anomaly on MRI.
ACR 2 bilateral.


Diagnosis

Doubt regarding architectural distortion of the right upper lateral quadrant, corresponding to superimpositions with tomosynthesis.


Key points

The differential diagnosis between genuine architectural distortion and a simple superimposition of breast structures is one of the strong points of tomosynthesis, particularly in the densest areas of a breast.



Doubt regarding architectural distortion of the right upper lateral quadrant, corresponding to superimpositions with tomosynthesis. RCC

RCC

Doubt regarding architectural distortion of the right upper lateral quadrant, corresponding to superimpositions with tomosynthesis. LCC

LCC

Doubt regarding architectural distortion of the right upper lateral quadrant, corresponding to superimpositions with tomosynthesis. RMLO

RMLO

Doubt regarding architectural distortion of the right upper lateral quadrant, corresponding to superimpositions with tomosynthesis. LMLO

LMLO

Doubt regarding architectural distortion of the right upper lateral quadrant, corresponding to superimpositions with tomosynthesis. RCC Acquisition Tomo

RCC Acquisition Tomo

Doubt regarding architectural distortion of the right upper lateral quadrant, corresponding to superimpositions with tomosynthesis. LCC Acquisition Tomo

LCC Acquisition Tomo

Doubt regarding architectural distortion of the right upper lateral quadrant, corresponding to superimpositions with tomosynthesis. RCC Tomosynthèse

RCC Tomosynthèse

Doubt regarding architectural distortion of the right upper lateral quadrant, corresponding to superimpositions with tomosynthesis. LCC Tomosynthèse

LCC Tomosynthèse

Doubt regarding architectural distortion of the right upper lateral quadrant, corresponding to superimpositions with tomosynthesis. T2

T2

Doubt regarding architectural distortion of the right upper lateral quadrant, corresponding to superimpositions with tomosynthesis. Soustraction 3 min

Soustraction 3 min

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