Final answer:
The next step given the characteristics of the tumor described in the mammogram would be to perform a biopsy.
Step-by-step explanation:
The next step given the characteristics of the tumor described in the mammogram would be to perform a biopsy. A radiopaque tumor with low optical density and an oval, lobulated shape, along with a halo along one border, raises suspicion for malignancy. While it is not possible to definitively diagnose a malignant tumor based on a mammogram alone, a biopsy can provide more information about the tumor's nature and whether it is benign or malignant.