It is a strange indoctrination
into the language of irregular
hypoechoic areas, and shadowing
echogenic comes consistent
with calcifications, or so we
read. Impression: highly suggestive
of malignancy, said not once
but twice. Highly suggestive of
malignancy—this was discussed
with the patient. Follow down
the path of surgical pathology
and clinical history, to arrive
at invasive ductal carcinoma.
It has a score: present, cribriform,
intermediate to high. Call it
again—invasive, identified, see
addendum, gross description.
Results were discussed.