This is a cranio-caudal (CC) view of the right breast. This view is looking down upon the breast from above. Notice the many, tiny white dots scattered throughout the breast The calcifications that are suspicious for breast cancer may be tiny, irregular, linear and branching.Also, development of new calcifications is worrisome. Ironically, the large, coarse appearing calcifications are usually benign. At first glance, the mammogropher/radiologist may think that this is an OBVIOUS case of intraductal carcinoma. The "apparent" calcifications may have developed within the ducts of the breast. There are other types of breast cancer that exhibit malignant calcification. This is a prime example of how important the patient's history is for interpreting this mammogram. Many years ago, the patient had been the victim of a gunshot wound. These tiny white dots that are scattered throughout the breast are tiny metallic fragments from the bullet.
Look again and give it your best shot!