Fig. 4. Benign lesion and potential for BI-RADS downgrade.
51 year-old woman presents with palpable lump in the left breast and refused conventional work-up using compression mammography because of discomfort. Following initial evaluation with ultrasound and ultrasound-guided biopsy results consistent with benign fibroadenoma, the patient presented for post-clip imaging using CBCT as a more comfortable alternative to compression mammography. Nonenhanced CBCT clearly demonstrates benign features and biopsy clip in place (crosshairs). Notably, this lesion would been initially categorized as BIRADS-3:probably benign by CBCT appearance, with a recommendation for short interval follow-up imaging – clearly a preferable alternative to ultrasound-guided biopsy in a patient concerned about breast discomfort.