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Breast cancer is the second most common cancer among women in the United States, with more than 175,000 women affected by breast cancer annually. Mammography is considered the gold standard for early detection of breast cancer because of its relatively high sensitivity and specificity, low cost, and wide availability. Routine screening mammograms greatly reduce breast cancer mortality with the benefit of early detection outweighing associated risks. Screening mammograms are interpreted by the radiologist and reported via the American College of Radiology Breast Imaging-Reporting and Data System (BI-RADS), which allows for a standardized method of categorizing normal screening mammograms, benign and malignant findings, and breast density. This article outlines the imaging appearance of various atypical findings on mammograms and their associated BI-RADS score and recommendations.
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