The specimen is oriented with marking sutures (or clips) after complete excision. One protocol is to place a 2–0 silk suture at the lateral margin of the specimen, cut long; and another 2–0 silk suture is placed at the superior margin of the specimen, cut short (long-lateral, short-superior, or LL/SS). Alternatively, small hemoclips can be placed for orientation. The protocol at Memorial Sloan-Kettering Cancer Center is to place 1 clip on the superior margin and 2 clips on the lateral margin. The advantage to clip orientation is that the surgeon can identify whether a radiographic lesion is close to the lateral or superior margin on the specimen radiograph. Orientating markers should be placed on all lesions removed from the breast, regardless of the level of suspicion, and gross inspection of the specimen should be performed in the operating room to identify "close" margins. Even with palpable lesions, a specimen radiograph may be helpful in identifying close margins. Additional tissue can be excised from any questionable or close area and identified as the new margin for the pathologist. Any EBB that is based on localization of calcifications or a biopsy clip must have a radiograph of the specimen to document the presence of the radiographic marker or calcifications in question. If the EBB was performed for a palpable mass, the surgeon should carefully palpate the specimen and confirm the presence of the mass in question. The specimen is sent to pathology fresh for inked margins.