The aim of this case report is to raise awareness of this imaging pitfall and to emphasize the importance of correlating radiological findings with clinical history to avoid misdiagnosis ABSTRACTTattoo pigment may migrate to regional lymph nodes and appear as dense deposits and/or calcifications, mimicking malignant axillary findings on breast imaging.We report a breast imaging case with apparent axillary lymph node calcifications detected on mammography and ultrasound, in which image-guided sampling and histopathology demonstrated tattoo pigment-related deposits without malignancy.Awareness of this benign mimic, combined with careful correlation with the clinical history and multimodality imaging, can prevent unnecessary escalation of care.Additionally, confirming imaging-pathology concordance supports accurate diagnosis and helps avoid overtreatment.
López-Herrero et al. (Wed,) studied this question.