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Case number:	159
Age:	64
Clinical presentation:	Postmenopausal woman with average risk of developing breast cancer presented with complaints of occasional left mastalgia. Examination revealed no abnormality.

Mammography:

Breast composition:	ACR category a (the breasts are almost entirely fatty)
Mammography features:
‣ Location of the lesion:	Bilateral breasts
‣ Mass:
• Number:	0
• Size:	None
• Shape:	None
• Margins:	None
• Density:	None
‣ Calcifications:
• Typically benign:	Vascular calcification
• Suspicious:	None
• Distribution:	None
‣ Architectural distortion:	None
‣ Asymmetry:	None
‣ Intramammary node:	None
‣ Skin lesion:	None
‣ Solitary dilated duct:	None
‣ Associated features:	None

BI-RADS:

BI-RADS Category: 1 (negative)

Case summary:

Postmenopausal woman presented with left mastalgia. Diagnosed as BI-RADS 1 on imaging.

Learning points:

Breast pain (mastalgia) is a common symptom in women. Nearly 70% of women experience mastalgia at some stage of life. For imaging in women with mastalgia, ultrasound is recommended in women younger than 40 years and mammography is recommended for women older than 40 years.