Suspicious lesion features for malignancy on breast Ultrasound

What are some suspicious lesion features for malignancy on breast Ultrasound?

Suspicious features on US include a markedly hypoechoic appearance, posterior acoustic shadowing, angular or irregular margins, spiculations, microlobulations, a mass that is taller than it is wide, and ductal extension. Although these features are usually seen in malignant lesions, benign masses may also exhibit some of these findings.

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