A, Nottingham Score 6/9. 01-31-2019 Lumpectomy: Invasive Ductal CA, Nottingham Score 6/9, Adjuvant Chemo completed 5-23-19. 06/18/2019 Lt Nipple Sparing Mastectomy: 0.3 cm focus of residual Invasive Ductal CA, Nottingham Score 9/9 What is grade clinical?