Calcifications located in the dermis of the breast may appear indistin
guishable from intramammary calcifications. The authors present a sign
, called the tattoo Sign, that can help radiologists identify dermal c
alcifications. When mammograms are compared, calcifications that maint
ain a fixed relationship to each other suggest a dermal location. This
can be verified with standard techniques. Understanding the tattoo si
gn may help prevent unnecessary needle localization and biopsy procedu
res.