Most calcifications in the breast form either
– Within the terminal ducts (intraductal calcifications A; BI-RADS 4-5), or
– Within the acini (lobular calcifications B; benign)
(Smithuis 2008)
diagram of TDLU and calcs, modified from Images: Smithuis 2008
Most important descriptors for calcifications are
– Morphology
– Distribution
Distribution and morphology need to be assessed together, ex: if the morphology is possibly concerning (amorphous), but the distribution is very reassuring (diffuse and bilateral) = benign
(Ikeda 2010)