{"id":251,"date":"2025-06-03T22:39:44","date_gmt":"2025-06-03T22:39:44","guid":{"rendered":"https:\/\/depts.washington.edu\/breast-imaging-teach\/?p=251"},"modified":"2025-06-30T10:23:11","modified_gmt":"2025-06-30T18:23:11","slug":"case-16","status":"publish","type":"post","link":"https:\/\/depts.washington.edu\/breast-imaging-teach\/?p=251","title":{"rendered":"Case 14"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Contributed by: Steven J. Rockoff, MD and Diana L. Lam, MD &#8211; June 1, 2020<\/p>\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js\">\n<h2 id=\"at-2510\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">Question 1<\/h2>\n<div id=\"ac-2510\" class=\"c-accordion__content\">\n<p class=\"wp-block-paragraph\">A 40-year-old woman is recalled from her screening mammogram to work-up calcifications in the right breast. Diagnostic magnification views (CC &amp; ML) are obtained:<\/p>\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"236\" height=\"300\" src=\"https:\/\/depts.washington.edu\/breast-imaging-teach\/wordpress\/wp-content\/uploads\/2025\/06\/CC-375x476-1-236x300.jpg\" alt=\"\" class=\"wp-image-254\" srcset=\"https:\/\/depts.washington.edu\/breast-imaging-teach\/wordpress\/wp-content\/uploads\/2025\/06\/CC-375x476-1-236x300.jpg 236w, https:\/\/depts.washington.edu\/breast-imaging-teach\/wordpress\/wp-content\/uploads\/2025\/06\/CC-375x476-1.jpg 375w\" sizes=\"auto, (max-width: 236px) 100vw, 236px\" \/><\/figure>\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"237\" height=\"300\" src=\"https:\/\/depts.washington.edu\/breast-imaging-teach\/wordpress\/wp-content\/uploads\/2025\/06\/ML-375x474-1-237x300.jpg\" alt=\"\" class=\"wp-image-255\" srcset=\"https:\/\/depts.washington.edu\/breast-imaging-teach\/wordpress\/wp-content\/uploads\/2025\/06\/ML-375x474-1-237x300.jpg 237w, https:\/\/depts.washington.edu\/breast-imaging-teach\/wordpress\/wp-content\/uploads\/2025\/06\/ML-375x474-1.jpg 375w\" sizes=\"auto, (max-width: 237px) 100vw, 237px\" \/><\/figure>\n<p class=\"wp-block-paragraph\">What kind of calcifications are these? (try zooming in on your browser if needed)<\/p>\n<p class=\"wp-block-paragraph\">A. Dystrophic<br \/>B. Popcorn-like<br \/>C. Rim<br \/>D. Skin<br \/>E. Milk of calcium<\/p>\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js\">\n<h3 id=\"at-2511\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">Answer<\/h3>\n<div id=\"ac-2511\" class=\"c-accordion__content\">\n<p class=\"wp-block-paragraph\"><strong>E. Milk of calcium<\/strong><\/p>\n<p class=\"wp-block-paragraph\"><strong>Explanation:&nbsp;<\/strong>These calcifications appear amorphous on the CC projection, and have a semilunar or crescent-shaped morphology on the 90\u00ba lateral (LM) projection. This is the classic appearance of \u201cmilk of calcium\u201d, which are sedimented calcifications within cysts. These are benign.<\/p>\n<p class=\"wp-block-paragraph\">On the CC projection, they milk of calcium often does not have a discrete shape. When x-rays pass through in the perpendicular (lateral) direction, we can see the calcifications layering within the dependent portion of their cysts, creating the characteristic curvilinear or \u201ctea cup\u201d appearance.<\/p>\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"236\" height=\"300\" src=\"https:\/\/depts.washington.edu\/breast-imaging-teach\/wordpress\/wp-content\/uploads\/2025\/06\/CC-annot-375x476-1-236x300.jpg\" alt=\"\" class=\"wp-image-256\" srcset=\"https:\/\/depts.washington.edu\/breast-imaging-teach\/wordpress\/wp-content\/uploads\/2025\/06\/CC-annot-375x476-1-236x300.jpg 236w, https:\/\/depts.washington.edu\/breast-imaging-teach\/wordpress\/wp-content\/uploads\/2025\/06\/CC-annot-375x476-1.jpg 375w\" sizes=\"auto, (max-width: 236px) 100vw, 236px\" \/><\/figure>\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"237\" height=\"300\" src=\"https:\/\/depts.washington.edu\/breast-imaging-teach\/wordpress\/wp-content\/uploads\/2025\/06\/ML-annot-375x474-1-237x300.jpg\" alt=\"\" class=\"wp-image-257\" srcset=\"https:\/\/depts.washington.edu\/breast-imaging-teach\/wordpress\/wp-content\/uploads\/2025\/06\/ML-annot-375x474-1-237x300.jpg 237w, https:\/\/depts.washington.edu\/breast-imaging-teach\/wordpress\/wp-content\/uploads\/2025\/06\/ML-annot-375x474-1.jpg 375w\" sizes=\"auto, (max-width: 237px) 100vw, 237px\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Contributed by: Steven J. Rockoff, MD and Diana L. Lam, MD &#8211; June 1, 2020<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-251","post","type-post","status-publish","format-standard","hentry","category-quiz"],"_links":{"self":[{"href":"https:\/\/depts.washington.edu\/breast-imaging-teach\/index.php?rest_route=\/wp\/v2\/posts\/251","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/depts.washington.edu\/breast-imaging-teach\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/depts.washington.edu\/breast-imaging-teach\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/breast-imaging-teach\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/breast-imaging-teach\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=251"}],"version-history":[{"count":3,"href":"https:\/\/depts.washington.edu\/breast-imaging-teach\/index.php?rest_route=\/wp\/v2\/posts\/251\/revisions"}],"predecessor-version":[{"id":728,"href":"https:\/\/depts.washington.edu\/breast-imaging-teach\/index.php?rest_route=\/wp\/v2\/posts\/251\/revisions\/728"}],"wp:attachment":[{"href":"https:\/\/depts.washington.edu\/breast-imaging-teach\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=251"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/depts.washington.edu\/breast-imaging-teach\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=251"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/depts.washington.edu\/breast-imaging-teach\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=251"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}