Ductal carcinoma in situ Quiz: Ace Your Exams

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A 48-year-old woman presents to the primary care clinic for a routine mammogram. The patient has not had breast pain, nipple discharge, skin changes, or breast masses on self-examination. Past medical history is significant for polycystic ovarian syndrome (PCOS) for which she has been taking oral contraceptive pills for 20 years. She has never been pregnant. Family history is significant for ovarian cancer in her maternal aunt at the age of 51. BMI is 24 kg/m2. Vital signs are within normal limits. Physical examination is unremarkable. Mammography reveals several clusters of fine, pleomorphic microcalcifications in the upper outer quadrant of the right breast. Diagnostic bilateral mammography confirms these findings. Which of the following is the best next step in management?  

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