Benign breast conditions Quiz: Ace Your Exams

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A 52-year-old woman comes to the PA’s office due to suspicious findings seen on a routine mammogram. She recalls no recent trauma or breast surgery. She is a gymnastics teacher and regularly engages in intense workout regimens. The patient’s first mammogram 2 years ago was normal. Medical history is unremarkable except hypertension treated with hydrochlorothiazide. Family history is significant for breast cancer in her mother diagnosed at age 64. On physical examination, a lump is palpated in the right breast field. Mammography reveals calcifications, as shown below:  

A mammogram shows breast tissue. Several irregular, bright white calcifications are clustered in the central-right area of the image, contrasting with the darker background.
Reproduced from: Radiopaedia  
After a discussion with the PA, the patient subsequently undergoes biopsy that reveals fat globules and associated necrosis, as shown below:  

A microscopy image shows numerous clear, empty vacuoles of varying sizes within pink fibrous tissue, surrounded by areas of darker stained cells and connective tissue.
Reproduced from: ">Wikimedia Commons   
Which of the following is the most likely diagnosis?  

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Choose an option: