Had a screening 3D mammogram, received a call back for a diagnostic mammogram/ultrasound. The report stated asymmetry with architectural distortion. When I went in I had the ultrasound 1st. The tech said the radiologist does the ultrasound 1st since I already had a 3D mammo and they try to limit the radiation. The tech couldn't find anything on the ultrasound and then the radiologist couldn't find anything either except a cyst in a different area of the breast. He decided to have more mammo images taken. I was left in the waiting area for a while afterwards. The tech comes back in and states they want to do the ultrasound again. The radiologist does the ultrasound, he told me when they redid the mammo it is still showing Architectural Distortion however they realized the area of concern was over a little further. He keeps feeling with his hand and the US machine. He finally shows me what he is seeing on the US screen (honestly at that point I wasn't really sure what I was looking at). He recommends we do a biopsy. I am schedule 2/1 for a core biopsy. Of course I have now read all I can online. I tried to ask the radiologist what the percentage of biopsy are malignant. He said he could not give me a number specifically for Architectural Distortion however all the biopsy are around 25%. I'm worried, have been reading these message boards all day and it does seem to help. I'm a high anxiety person and this is not what I need right now. Originally schedule 2/8 but they called and moved it up. Here is what the report says.
BREAST COMPOSITION: Extremely dense
Tomographic imaging best affects a persistent subtle area of architectural distortion posteriorly in the left breast at about the 2:30 position.
Focused left breast ultrasound demonstrates a subtle area of hypoechoic architecture shadowing mammographic abnormality. It is not well marginated does appear to be wide by 7 mm. Real-time sonographic suite through the area does not define a discrete mass but rather architectural distortion and confluence of soft tissues.
IMPRESSION: PERSISTENT LEFT BREAST MAMMOGRAPHIC ABNORMALITY REPRESENTED BY ARCHITECTURAL SONOGRAPHIC ABNORMALITY FAVORED TO CORRELATE WITH THE MAMMOGRAPHIC ABNORMALITY. THIS IS CONSIDERED SUSPICIOUS
RECOMMENDATION: Ultrasound-guided left breast core biopsy. Careful attention on post biopsy mammography to ensure biopsy clip correlates with mammographic abnormality.