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Mammary Artery Calcification a Useful Marker for Coronary Artery Disease

A 62-year-old lady, known diabetic and chronic renal disease patient for last 15 years and hypothyroidism for 5 years presented with acute onset chest pain. ECG revealed ST-T inversions suggesting acute coronary syndrome. Chest radiograph was taken which was unremarkable except for aortic knuckle calcification. She was managed on the lines of acute coronary syndrome. During her course of stay she also complained of breast discharge. On examination, a small firm lump was palpated in breast and red coloured discharge was observed. Mammogram revealed a speculated mass and axillary lymph node. Incidentally calcification of bilateral mammary arteries was also noted.

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