Fig. 1.

Fifty-four-year-old woman presented with palpable regions in both breasts. All imaging tests and biopsies were completed on a single visit. Left breast: a left breast mediolateral oblique projection from the initial mammogram shows architectural distortion in the upper aspect of that breast (arrows). b Spot tomosynthesis view of the upper-left breast shows persistence of the architectural distortion (arrows). c On left breast ultrasound, the architectural distortion corresponds to a 1.9-cm solid mass (arrows). Right breast: d right breast craniocaudal projection from the initial mammogram shows a spiculated mass (arrows) associated with pleomorphic calcifications (arrowheads) in the medial right breast. e On right breast ultrasound, this corresponds to a 2.9-cm solid mass (arrows). Bilateral ultrasound core biopsies showed bilateral invasive ductal carcinomas. The pathology report was available 4 days later at which time the patient was contacted by a breast surgeon to discuss a treatment plan. The surgery was performed 10 days after the pathology results were available