Location of Calcifications

[Sheriannz]

Using the nipple as the reference point for the midline of the breast, a cluster of calcifications may shift above or below the midline when viewed from the true lateral (side) mammogram vs the craniocaudral (viewed from above) mammagram.  In other words, the cluster of calcifications may appear above or below the midline of the breast depending upon the direction of compression during a mammogram.

Which mammography view does the Radiologist use when he describes the calcifications in the Interpretation and Impression portions of the Mammography report if calcifications are in the "upper quandrant" in the lateral view and in the "lower quadrant" in the craniocaudral view.                                                                                                    

[Sheriannz]

Thank you.  I will confer with a Breast Surgeon.

Without reference to my particular case, common sense would dictate that calcifications MAY shift with respect to the midline when the breast is compressed vertically and horizontally.  Is this an accurate statement?

[Cleveland Clinic]

Dear Sheriannz:  Without review of the mammograms, it is impossible for us to speculate on how we might interpret the results.  You should have a discussion with your doctor to clarify the radiology report for you as it pertains to this situation.