A lesion on the lateral aspect of the breast is not visible on the CC projection. What additional projection could be utilized?

In the context of breast imaging, particularly mammography, a lesion that is located on the lateral aspect of the breast but is not visible on the craniocaudal (CC) projection can benefit from the use of the exaggerated craniocaudal lateromedial (XCCL) view. The XCCL view is specifically designed to enhance visualization of lesions that may be obscured in the standard CC view.

The XCCL allows for a different angle of incidence, focusing on the lateral part of the breast while still maintaining a cranial viewpoint. By manipulating the angle, this projection effectively highlights lesions that might be hidden due to overlapping tissues or anatomical structures in the CC view. This is particularly useful for lesions towards the periphery of the breast where traditional views may not adequately demonstrate pathology.

Other views like mediolateral oblique (MLO) or lateromedial (LM) may also provide additional information, but they would not have the same targeted approach in revealing lesions specifically lateral to the breast, as the XCCL does. Thus, utilizing the XCCL projection is an appropriate choice to further evaluate a lateral lesion that remains undetected in the CC view.