Radiology · Breast Imaging (Mammography, BI-RADS, Ultrasound, MRI)

A 60-year-old woman undergoes screening mammography. A cluster of microcalcifications is described as 'amorphous and indistinct' on magnification views. They are scattered in distribution. According to BI-RADS, amorphous microcalcifications are classified under which category of suspicious morphology?

  • A Intermediate suspicion
  • B Typically benign
  • C High suspicion
  • D Benign
Correct answer: A. Intermediate suspicion

Explanation

Amorphous microcalcifications are small and hazy, with indistinct margins, making it difficult to determine their shape. They fall into the intermediate suspicion category in BI-RADS. Fine pleomorphic calcifications are also intermediate suspicion. Fine linear or fine linear branching calcifications are in the high suspicion category. Typically benign calcifications include skin, vascular, coarse popcorn-like, and eggshell types.

Reference: ACR BI-RADS Atlas, 5th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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