Mammographic findings of bilateral breasts symmetrical thick, linear, rod-like and cigar-shaped macro-calcifications with long axes oriented pointing toward the nipple is pathognomic of plasma cell mastitis.

Plasma cell mastitis is a benign breast condition representing calcification of inspissated secretions in or immediately adjacent to ectatic benign ducts. It is typically seen in older women above 60 years of age.

Left breast LIQ spiculated mass highly suggestive of malignancy (BI-RADS 5). An ultrasound-guided biopsy was done revealing breast cancer (invasive duct carcinoma grade II).