女性，45岁。发现左乳腺肿物2周，无痛，既往无 * * 溢液史。查体：左乳中央区可触及直径1．5cm、边界尚清、质地较硬的肿块， * * 略有内陷，无水肿，腋窝淋巴结未触及。

下列哪项检查可确定诊断（）

A.乳腺钼靶检查

B.核素扫描

C.B超

D.穿刺或切除活检

E.MRI

The headmaster will not permit the change in the course, nor______ it a thought. [ ]

A. does he even given  

B. he even gives

C. will he even give        

D. he will even given