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Figure 3b. (a) Native breast (left) and postmastectomy TRAM reconstruction (right) in the same patient. Mediolateral oblique view shows clustered calcifications with density (arrow) in the extreme upper outer quadrant of the TRAM-reconstructed breast. (b) Wire localization radiograph of the specimen better demonstrates the calcifications (arrows). Fibrocystic change with calcifications was found at histologic examination. This likely occurred in an area of native breast tissue not removed at mastectomy.