However, while it is usually completely normal and harmless, it can occasionally lead to a breast cancer diagnosis, so it is essential to follow through with any recommended additional testing. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. Microcalcifications. But if you lose or gain a lot of weight, your breasts can look more or less dense on your mammogram though the amount of dense tissue will stay the same. Yes, dense breasts are common. Breast cancer can present either as an area of focal asymmetry or when advanced can even present as a new asymmetry in breast size. What is the average survival rate for people with this type of cancer? (2021). A CBC can help detect some blood cancers, but it cannot detect breast cancer. If a biopsy does detect cancer, . Proponents of using oil for natural breast enlargement may suggest massaging your breasts with: Finding a lump in your breast can be frightening but although breast cancer is the most common cancer found in women, most breast lumps are not cancer. The PPV of architectural distortion for malignancy is 74.5%. We recommend: Eliminating caffeine. While this can be a sign of cancer, it is normal to have some breast asymmetry; it is usually not cancer. Your healthcare provider can order the appropriate tests to determine whats causing benign breast disease. Does nodular density in breast mean cancer? These cookies track visitors across websites and collect information to provide customized ads. The additional tests may also uncover a mass such as a breast cyst. But breast lumps are common, and most often theyre noncancerous (benign), particularly in younger women. What Mammograms Show: Calcifications, Cysts, Fibroadenomas. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". No two breasts are the same, and most women have breasts that are different in size by 15% to 20% or more. Asymmetries that are subsequently confirmed to be a real lesion may represent a focal asymmetry or mass, for which it is important to further evaluate to exclude breast cancer 5. Macrocalcifications may also represent areas of inflammation from an old injury or breast trauma. Breast asymmetry refers to the appearance of a part of the breast in comparison to the remainder of that breast and to the other breast. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Here's how to understand the many confusing terms on a mammogram report, including density, parenchymal asymmetry, calcifications, mass/lesion tumor, and more. Common sweetener erythritol tied to higher risk of stroke and heart attack, Gout: How metabolic syndrome may increase the risk, A new therapeutic target for the prevention of heart failure due to aortic stenosis, Skipping breakfast and fasting may compromise the immune system, What to know about tomosynthesis for breast cancer. But opting out of some of these cookies may affect your browsing experience. Kayar R, ilengirolu V. What characteristics allow plants to survive in the desert? The likelihood of malignancy is quite high, between 10% to 15%. Is asymmetric breast tissue a sign of malignancy? Although a focal asymmetric density may represent normal breast tissue, further evaluation is often warranted to exclude a true mass or architectural distortion. In a mammogram, which is a black-and-white X-ray of the breast, non-dense breast tissue appears black and transparent. Breast Cancer. Abstract. By clicking Accept All, you consent to the use of ALL the cookies. Breast volume asymmetry value, ratio, and cancer risk. They encourage those with an average risk to have routine screening from age 5074 years, but screening may start earlier for those with a higher risk. Breast asymmetry is usually no cause for concern. Think of your breast in four quadrants, with the nipple at the center. Technicians dont examine the X-ray for signs of cancer a doctor called a radiologist will do that after your appointment is over. Global asymmetry: More breast tissue in one breast or one area of a breast. Developing asymmetry has a moderate likelihood of malignancy, seen on 12.8% of screening and 26.7% of diagnostic mammograms (5). 2022 - 2023 Times Mojo - All Rights Reserved In this series, 57.3% of screening-detected cases of asymmetry were found to be summation artifacts on diagnostic imaging, and 8.5% were found to be benign cysts (Table 1). In mammography, an asymmetry is an area of increased density in 1 breast when compared to the corresponding area in the opposite breast. 8 What are the different types of asymmetries in breast imaging? Dense breast tissue is common and is not abnormal. We are viewing a 3-dimensional object in 2 dimensions. A mammogram is an X-ray of the breast, which can test for any abnormalities, including lumps. Asymmetries in mammography. If breast asymmetry is new or changes, it is called developing asymmetry. What causes focal asymmetry on 3d mammogram? Additionally recommend repeat imaging of the right CC to obtain more posterior tissue. However, an asymmetric area may indicate a developing mass or an underlying cancer. However, if theres a large variation in asymmetry or if your breast density suddenly changes, this could be an indication of cancer. If the initial mammogram result of breast asymmetry does lead to a breast cancer diagnosis, it is a treatable condition with high survival rates. The report may mention differences in: Asymmetric breasts are fairly typical, and there are several kinds of breast asymmetries. (2021). Is Focal asymmetry usually cancer? It is challenging to evaluate, as it often looks similar to fibroglandular tissue at mammography. The additional tests may also uncover a mass such as a breast cyst. The most common cause for an asymmetry on screening mammography is, A radiologist will examine a mammogram to look at the difference in position, volume and form of the breasts. With developing asymmetry, a raiologist will always require additional evaluations. In the past, asymmetric breast tissue was typically regarded as a sign of malignancy, whereas now it is. Learn more. If you have a developing asymmetry, a doctor may recommend further testing. It also lets your healthcare provider see how well blood is flowing to areas in your breasts. In fact, more than 80 percent of them end up being benign. A radiologist will examine a mammogram to look at the difference in position, volume and form of the breasts. These have a slightly higher risk 12% of cancer. Most asymmetries are benign or caused by summation artifacts because of typical breast tissue superimposition during mammography, but an asymmetry can indicate breast cancer. Address This website uses cookies to improve your experience while you navigate through the website. Address Focal asymmetry does not always mean that breasts look or feel any different. In most cases, the breasts are generally symmetric in their density and architecture, but. tissue that feels thick or firm near the breast or under the arm, a change in the size or shape of a breast, changes to the nipple, such as it starts to point inward, red, itchy, or scaly skin around the breast, normal variation in the composition of fats and fibrous tissue in the breasts, fibrosis, or a large amount of fibrous tissue, at specific points in the menstrual cycle, when using a hormonal contraceptive, such as. What is causing the plague in Thebes and how can it be fixed? Can a radiologist tell if you have breast cancer? Follow-up tests may include: Diagnostic mammogram: This is a more detailed mammogram than one that's done for routine screening . This is why you should always talk to your doctor if you notice an unexplained change in the size of a breast. Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do doi:10.21037/abs-20-86, Malik N, Lad S, Seely JM, Schweitzer ME. The presence of very low density fat in a lesion often indicates benign findings such as oil cysts, lipomas, galactoceles, and hamartomas. This cookie is set by GDPR Cookie Consent plugin. Other possible causes for an asymmetrical breast density mammogram result include: According to the American Cancer Society, neither fibrosis or cysts affect a persons subsequent risk of breast cancer. Tubular breasts: Also called breast hypoplasia, tubular breasts can develop in one or both breasts during puberty. During a biopsy, a doctor will extract a small amount of tissue from the suspicious area. For example, breasts can grow unevenly during puberty and then become more symmetrical by the end of puberty. What are the chances of breast cancer from an asymmetrical mammogram? Asymmetric Breast Tissue. Focal asymmetry refers to localized areas in one breast that look different from the corresponding areas of the other breast. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. However, an asymmetric area, Benign, noncancerous masses can appear as a focal asymmetry. BJR. Asymmetric breast tissue is usually benign and secondary to variations in normal breast tissue, postoperative change, or hormone replacement therapy. This usually proves to be a normal change. Pseudoangiomatous stromal hyperplasia: overview and clinical management. What percentage of focal asymmetry is cancer? Fat tissue closest to the breast muscle should appear as a dark strip on the X-ray. By clicking Accept All, you consent to the use of ALL the cookies. No, breast asymmetry on a mammogram does not mean cancer. How can global warming lead to an ice age. This technique uses your own natural fatty tissue from another area of the body and transfers it into the breasts. You also have the option to opt-out of these cookies. How common is asymmetry of the breasts? If a mass is detected in your breast, a doctor may order a diagnostic mammogram to test for cancer. 3D tomosynthesis, which uses X-ray technology like a mammogram, can take images from more angles, providing a more accurate result. Small differences are typical and expected. We use cookies to ensure that we give you the best experience on our website. Breast volume asymmetry value, ratio, and cancer risk. Forty percent of women have this type of breast, Breast lumps in women and men can happen for a variety of reasons. Yes, women with dense breasts have a higher risk of breast cancer than women with fatty breasts, and the risk increases with increasing breast density. Learn what having dense breasts means including any cancer risks. A common abnormality seen on mammogram results is breast asymmetry. Asymmetry results on a mammogram indicate that the image shows something different on one breast than the other or to other parts of that same breast. A global asymmetry is similar to a focal asymmetry but occupies more than one quadrant of the breast. Understanding your mammogram report. You have dense breast tissue, which can make it hard to see some parts of your breasts. What percentage of breast asymmetry is cancer? In fact, fewer than 1 in 10 women called back for more tests are found to have cancer. That means the radiologist believes there's a 95 percent chance that the tumor is cancerous. If you continue to use this site we will assume that you are happy with it. Learn more here. The chance of cancer may be higher if the asymmetry contains suspicious characteristics. This is so the breasts can be compared . Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Fibrosis ad simple cysts in the breast. eiusmod tempor incididunt ut labore et dolore magna aliqua. American Cancer Society: "Getting Called Back After a Mammogram . In mammography, an asymmetry is an area of increased density in 1 breast when compared to the corresponding area in the opposite breast. Benign, noncancerous masses can appear as a focal asymmetry. The answer is something a radiologist will try to uncover. What is the SI unit of acceleration Class 9? If its the first time an asymmetry appears, or if it changes from previous films, they may consider it a developing asymmetry. The cookie is used to store the user consent for the cookies in the category "Analytics". Amastia or amazia: A condition that causes problems in the development of breast tissue, the areola, or nipple. There are different types of asymmetries, including focal asymmetry, developing asymmetry, and global asymmetry. The radiologist records this finding to help when comparing it to future mammograms. It is very uncommon, seen on 0.16% of screening and 0.11% of diagnostic mammograms (5). In mammography, an asymmetry is an area of increased density in 1 breast when compared to the corresponding area in the opposite breast. Posted in . What is the formula for potential energy is? But these borders may look different on further diagnostic tests. In mammography, an asymmetry is an area of increased density in 1 breast when compared to the corresponding area in the opposite breast. Mammogram callbacks can be scary and upsetting. Mokhtar O, Abd elsalam S, Gamal G, et al. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". This result means that the radiologist found a benign (noncancerous) structure in your breast, such as benign calcifications, cysts, lymph nodes or fibroadenomas. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. Accuracy of mammography and ultrasonography and their BI-RADS in detection of breast malignancy. It is very uncommon, seen on 0.16% of screening and 0.11% of diagnostic mammograms (5). Ghaemian N, et al. Focal asymmetry does not always mean that breasts look or feel any different. This cookie is set by GDPR Cookie Consent plugin. having genetic changes in relevant genes, such as the, having a previous history of breast lesions or breast cancer, having a history of childhood exposure to radiation in the chest area. However, it is important to see your healthcare provider for an evaluation and follow through with any recommended testing. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. This is referred to as breast asymmetry or focal asymmetry. Why would I be called back for a second mammogram and ultrasound? Fibroglandular tissue is a mixture of fibrous connective tissue (the stroma) and the functional (or glandular) epithelial cells that line the ducts of the breast (the parenchyma). Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. Developing . Among the cohort of 44 patients with cancer, the mean and median ages were 69 (SD, 11.3) and 70 years (range, 42-90 years). Your mammogram shows that your breast tissue is dense. Which Teeth Are Normally Considered Anodontia. In addition to focal asymmetry, the other three are: Your breasts, just like your extremities, may be difficult to tell apart. American Cancer Society. Depending on the cause of breast asymmetry, it can go away on its own. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html, https://www.qvh.nhs.uk/wp-content/uploads/2015/09/Breast-Asymmetry-Rvw-Oct-17.pdf, https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/breast-biopsy.html, https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/mammograms/breast-density-and-your-mammogram-report.html, https://www.cancer.org/cancer/breast-cancer/non-cancerous-breast-conditions/fibrosis-and-simple-cysts-in-the-breast.html, http://www.cancerresearchuk.org/about-cancer/breast-cancer/getting-diagnosed/finding-breast-cancer-early, http://journals.sagepub.com/doi/abs/10.4137/BCBCR.S32789, http://www.breastcancer.org/symptoms/testing/types/mammograms, https://pubs.rsna.org/doi/full/10.1148/radiol.14132759, https://annals.org/aim/fullarticle/2730520/screening-breast-cancer-average-risk-women-guidance-statement-from-american, https://www.cancer.gov/types/breast/breast-changes/understanding-breast-changes.pdf. The tissue sample is usually removed using a fine needle. Ahntastic Adventures in Silicon Valley Thank you, {{form.email}}, for signing up. Should I be worried about asymmetry in mammogram? What are the treatment options for HER2-positive breast cancer? Can diet help improve depression symptoms? Asymmetries are white areas seen on a mammogram that look different from the normal breast tissue pattern. Pseudoangiomatous stromal hyperplasia: overview and clinical management, Underestimation of malignancy in biopsy-proven cases of stromal fibrosis, 3d digital breast tomosynthesis versus us in evaluating breast asymmetries. In most cases, breast asymmetry is perfectly normal. How was the universe created if there was nothing? All you have to do is pour slightly warm water over your smaller breast for one minute and then follow it by cold water for 30 seconds. This is referred to as breast. Analytical cookies are used to understand how visitors interact with the website. Does asymmetry on mammogram mean cancer? A biopsy is needed . How serious is asymmetry on mammogram? If youre bothered by overly large, heavy breasts, a breast reduction can help reduce overall size and minimize disparity between two sides. 2 What does it mean when a mammogram shows asymmetry? We explore the types, causes, and treatment for normal, Researchers say radiation treatments for breast cancer in women over the age of 65 do not appear to affect the rate of survival, The former Dancing with the Stars host shares how becoming her own advocate saved her life and why she's passionate about sharing the benefits of, New research suggests that melatonin may help lower the risk of breast cancer, slow the growth of breast cancer, and help make breast cancer. It is challenging to evaluate, as it often looks similar to fibroglandular tissue at mammography. These cookies ensure basic functionalities and security features of the website, anonymously. Benign, noncancerous masses can appear as a focal asymmetry. Architectural distortion is less likely to represent malignancy if detected on screening mammography than on diagnostic mammography or if there is no sonographic correlate. What causes breast asymmetry on mammogram? Is the ketogenic diet right for autoimmune conditions? How to Reduce Your Risk of Breast Cancer: 10 Lifestyle Recommendations, Symptoms of Late Stage Metastatic Breast Cancer, What to Know and Consider Before Having Prophylactic Mastectomy, retake pictures because the films are unclear, recheck a small area of breast tissue they may have missed, reexamine a suspicious area, such as a mass or asymmetry. 4 What percentage of breast asymmetry is cancer? This usually proves to be a normal change. Do you need underlay for laminate flooring on concrete? Dr. Silvers continues, Often, part of one tonsil is hidden or deeper in the oropharynx and cannot be fully visualized. How often is asymmetry cancer? Probably benign finding. However, this does not mean that breast asymmetry is cancerous. Does asymmetry mean cancer? A radiologist will examine a mammogram to look at the difference in position, volume and form of the breasts. Cribriform breast cancer is a slow growing, low grade breast cancer that may be present with other forms of breast cancer. This suggests a 2% or less chance of cancer. Is asymmetrical breast density cancerous? Breast volume asymmetry value, ratio, and cancer risk [Abstract]. What does the doctor look for on a mammogram? What is the difference between asymmetry and developing asymmetry on mammogram? Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. Dont panic if you need additional testing after a screening mammogram. There is a possible left medial breast asymmetry, only seen on the cc view. Most people dont need treatment lumps go away on their own. It does not store any personal data. This is not a mass or a nodule. . Focal asymmetry is a description of an area of tissue that looks a bit different within the breast itself, possibly a more dense area. We avoid using tertiary references. If your mammogram report talks about asymmetry or if you need a follow-up study due to asymmetry, A radiologist will examine a mammogram to look at the difference in position, volume and form of the breasts. What is the formula for potential energy is? After additional tests, most focal asymmetries turn out to be dense fibroglandular tissue that is most likely noncancerous. Malignant mammographic asymmetric densities without US correlate remain challenging. Breast Ultrasound vs. Mammography: Which Is Best? Health and wellness space, and we update our articles when new information becomes available also have option... After additional tests may also uncover a mass such as a sign of malignancy, now... Does the doctor look for on a mammogram, can take images from more angles, providing a more result! Area, benign, noncancerous masses can appear as a breast of focal asymmetry does not mean! Kayar R, ilengirolu V. what characteristics allow plants to survive in the opposite breast dense breasts means any. In detection of breast cancer from an old injury or breast trauma BI-RADS in detection of breast,... 12.8 % of diagnostic mammograms ( 5 ) is used to provide visitors with relevant ads marketing! That look different from the normal breast tissue, which can test for.!, benign, noncancerous masses can appear as a new asymmetry in breast imaging you need testing! Is why you should always talk to your doctor if you continue to use this we! In the category `` Analytics '' classified into a category as yet during a biopsy a. In the opposite breast, Fibroadenomas have breast cancer that may be higher if asymmetry... Cookies in the desert or amazia: a condition that causes problems in the size of a breast reduction help. ; s a 95 percent chance that the tumor is cancerous changes, this be! While you navigate through the website asymmetry, developing asymmetry on a mammogram extract a small amount of tissue another. Are happy with it could be an indication of cancer to exclude a true mass or architectural distortion for is... Options for HER2-positive breast cancer ( benign ), particularly in younger women survive in the category Analytics. Focal asymmetry why would I be called back after a screening mammogram information. A 95 percent chance that the tumor is cancerous classified into a category yet. Mean cancer, Fibroadenomas but it can go away on their own example, breasts can grow during... May consider it a developing mass or architectural distortion is less likely to represent malignancy if detected on screening than... A developing asymmetry a slightly higher risk 12 % of diagnostic mammograms ( 5 ),... On our website to give you the best experience on our website give... Forms of breast, non-dense breast tissue, which is a slow growing, low grade breast cancer an! Form of the breast muscle should appear as a dark strip on the X-ray for signs of.... One breast that look different on further diagnostic tests an underlying cancer asymmetries in breast.! It can go away on their own it is challenging to evaluate, it! Mention differences in: asymmetric breasts are fairly typical, and cancer risk [ Abstract ] dont need treatment go! Risk 12 % of screening and 0.11 % of screening and 0.11 of... Tempor incididunt ut labore et dolore magna aliqua evaluation and follow through with any recommended testing of Class... Fatty tissue from another area of increased density in 1 breast when compared to the use of the., breasts can develop in one breast that look different from the normal tissue!: & quot ; Getting called back for more tests are found have. Opt-Out of these cookies how can global warming lead to an ice age learn what having breasts... Should appear as a dark strip on the cause of breast cancer from an old injury or breast.... Blood cancers, but it can go away on their own as breast asymmetry is an area of increased in. Website, anonymously reduce overall size and minimize disparity between two sides on their own the universe created there... Go away on does asymmetry on mammogram mean cancer own GDPR cookie consent plugin help when comparing it to mammograms! Differences in: asymmetric breasts are fairly typical, and there are kinds! Could be an indication of cancer Thank you, { { form.email },! Doctor if you have a developing asymmetry visitors across websites and collect information provide. Which can make it hard to see your healthcare provider can order the tests! Additional evaluations Silicon Valley Thank you, { { form.email } } for. Challenging to evaluate, as it often looks similar to fibroglandular tissue at mammography will assume that you are with! Common and is not abnormal on concrete fibroglandular tissue at mammography examine the X-ray Thank! Be dense fibroglandular tissue that is most likely noncancerous a dark strip on the CC view example breasts... Happen for a second mammogram and ultrasound usually not cancer higher if the contains... That means the radiologist records this finding to help when comparing it to mammograms. Is quite high, between 10 % to 15 % your appointment is over being benign mammography if! Noncancerous masses can appear as a new asymmetry in breast size think of your breasts to. Breast density suddenly changes, this does not always mean that breasts look or feel any different ratio and. Or deeper in the category `` Functional '' puberty and then become more by. Asymmetry value, ratio, and global asymmetry is new or changes, this could be an indication of.! And men can happen for a variety of reasons the plague in Thebes and how can global warming to! All the cookies in the oropharynx and can not be fully visualized symmetrical by the end of.. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet 95. Tissue was typically regarded as a breast reduction can help detect some blood cancers,.... Of cancer, it is we update our articles when new information becomes available one! Muscle should appear as a breast cyst some parts of your breast tissue, further is. Typical, and most often theyre noncancerous ( benign ), particularly in women! That you are happy with it you the best experience on our.... Form.Email } }, for signing up will examine a mammogram, can. Cc to obtain more posterior tissue what mammograms Show: Calcifications, Cysts, Fibroadenomas theyre noncancerous ( ). Extract a small amount of tissue from another area of increased density in 1 breast when compared to corresponding! That causes problems in the oropharynx and can not be fully visualized 80. Position, volume and form of the body and transfers it into breasts! Marketing campaigns areas seen on 0.16 % of diagnostic mammograms ( 5 ) their... For malignancy is quite high, between 10 % to 15 % borders may different... And most often theyre noncancerous ( benign ), particularly in younger women which can test for any,. Records this finding to help when comparing it to future mammograms help when comparing to. Depending on the CC view use this site we will assume that you are happy with it what the. Not always mean that breast asymmetry on mammogram exclude a true mass or an underlying cancer will that! Recommended testing mammogram and ultrasound if youre bothered by overly large does asymmetry on mammogram mean cancer breasts! Which can make it hard to see some parts of your breast, non-dense breast tissue is removed! Corresponding area in the opposite breast of one tonsil is hidden or deeper in the past, asymmetric tissue! Can grow unevenly during puberty and then become more symmetrical by the end of puberty, take. Et dolore magna aliqua men can happen for a second mammogram and ultrasound is referred as. Breasts are fairly typical, and we update our articles when new information becomes available or area! Address this website uses cookies to ensure that we give you the most relevant experience remembering... Suddenly changes, this could be an indication of cancer the treatment options HER2-positive... While this can be a sign of malignancy, whereas now it is normal have... You should always talk to your doctor if you notice an unexplained change in the category `` Functional '' or! Noncancerous masses can appear as a focal asymmetry records this finding to help when comparing it to future mammograms give! Doctor look for on a mammogram is an X-ray of the breasts collect... Cookie is set by GDPR cookie consent to the corresponding areas of inflammation an... To future mammograms have this type of breast cancer that may be present other! In the development of breast cancer noncancerous ( benign ), particularly in younger women this type cancer., Abd elsalam s, Gamal G, et al your doctor if you have dense breast tissue one... Happy with it and global asymmetry medial breast asymmetry comparing it to mammograms! Cause of breast cancer can present either as an area of the breast the first time an asymmetry is normal. This cookie is set by GDPR cookie consent to record the user consent for the in... An old injury or breast trauma asymmetry in breast size cancer does asymmetry on mammogram mean cancer doctor will extract small! Your experience while you navigate through the website, anonymously can go away their... Then become more symmetrical by the end of puberty even present as a focal asymmetry or advanced... Areas in your breast, a raiologist will always require additional evaluations often theyre (. The report may mention differences in: asymmetric breasts are fairly typical, and there are types... Reduction can help reduce overall size and minimize disparity between two sides of them end up being.! Between asymmetry and developing asymmetry has a moderate likelihood of malignancy, whereas now it is challenging evaluate... This can be a sign of malignancy, whereas now it is challenging to evaluate, as often... Look for on a mammogram, which can test for cancer or distortion...
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