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Radiology · Breast imaging
Sample itemWhich mammographic finding may prompt further assessment because it can be associated with early breast malignancy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Suspicious clustered microcalcifications
Certain calcification patterns, including suspicious clustered microcalcifications, can represent early ductal pathology and are evaluated with targeted mammographic views, ultrasound when appropriate, and image-guided biopsy.
Option by option
A. A visible skin marker
Skin markers help correlate external findings but are not malignant lesions.
B. Coarse rim calcification of a benign oil cyst
Rim calcification of an oil cyst is a typical benign fat-necrosis pattern.
C. Suspicious clustered microcalcifications (correct)
Correct: suspicious microcalcification clusters can require diagnostic work-up.
D. Uniformly dark breast tissue only
Breast density alone is not a specific malignant finding.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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