case_images: PMC10546231_01
case_images: Baseline mammography in 2017 demonstrates the benign-appearing calcifications bilaterally on the (a) CC and (b) MLO views.
case_images: SAJR-27-2730-g001.jpg
case_images: PMC10546231_01_SAJR-27-2730-g001.jpg
case_images: F0001
case_images: Baseline mammography in 2017 was evaluated as BIRADS 2, with several secretory type calcifications observed bilaterally (Figure 1).
case_images: The 2021 (a) craniocaudal (CC) and (b) mediolateral oblique (MLO) views eloquently demonstrate the striking bizarre linear dystrophic type calcifications in both breasts.
case_images: SAJR-27-2730-g002.jpg
case_images: PMC10546231_01_SAJR-27-2730-g002.jpg
case_images: F0002
case_images: Mammography demonstrated marked interval progression in the previously observed benign calcifications, now seen to extensively involve the stromal tissue of both breasts and the subcutis (Figure 2).
case_images: The chest radiograph (CHR) reveals the extensive bizarre breast calcifications with contrasting insignificant pulmonary changes.
case_images: SAJR-27-2730-g003.jpg
case_images: PMC10546231_01_SAJR-27-2730-g003.jpg
case_images: F0003
case_images: On further evaluation, scattered foci of mass-like calcifications were found to involve the subcutaneous tissues of the chest wall, axillae and abdomen (Figure 3).
case_images: Corresponding axial HRCT on bone window (a, b, c) demonstrate scattered foci of mass-like calcifications in the breasts and the subcutaneous tissues of the chest wall and axillae and coronal (d) demonstrates lung fields without imaging findings suggestive of interstitial lung disease.
case_images: SAJR-27-2730-g004.jpg
case_images: PMC10546231_01_SAJR-27-2730-g004.jpg
case_images: F0004
case_images: High resolution CT of the lungs performed thereafter, eloquently demonstrated the breast parenchymal changes with no interstitial lung changes (Figure 4).
case_images: Contrast swallow (a) anteroposterior, demonstrates an unremarkable oesophageal outline without any features of dysmotility. The lateral (b) did not demonstrate any oesophageal pathology.
case_images: SAJR-27-2730-g005.jpg
case_images: PMC10546231_01_SAJR-27-2730-g005.jpg
case_images: F0005
case_images: Contrast swallow was also normal at this stage, making CREST syndrome (calcinosis, Raynaud's, oesophageal dysmotility, sclerodactyly and telangiectasia) and dermatomyositis less likely differentials (Figure 5).