Birads 5 and waiting for biopsy
I had a diagnostic mammogram and ultrasound on 4/6 which came back as Birads 5. The soonest they could get me in for the biopsy was 4/19. The waiting is torture! Only a couple of days left and I hope to have results back before the weekend. I’m 47 years old andI felt a few lumps and noticed a slight change on the direction of my left nipple in November. The holidays came, life got busy and I forgot about it. In February I began noticing a sharp burning pain that would come and go in my left breast. I had lost my insurance at the first of the year when I changed to a contract employee and it took until March to become active on a new policy and I was finally able to be seen. I’ve read just about every story on here and have come to terms with what might be the end results. The hardest part was telling my 12 year old daughter what has been going on. She’s very mature for her age and my best friend so there was no hiding it from her. My husband is supportive and concerned and I am grateful for their support. Not knowing is the worst part and I am ready to move forward with a plan. My report, listed below, doesn’t have much detail about the masses and the mention of the lymph node is very concerning. Any thoughts on the findings would be greatly appreciated.
BILATERAL BREAST ULTRASOUND: TECHNIQUE: Complete bilateral breast ultrasound consisting of examination of all four quadrants and retroareolar region of each breast, as well as examination of each axillary region. INDICATION: Dense breasts limiting mammographic sensitivity. Adjunctive screening. Palpable bilateral breast lumps. Left nipple retraction. COMPARISON: Mammograms dated 4/6/2023 and 3/19/2018; ultrasound dated 3/19/2018. FINDINGS: Right: Detailed sonographic evaluation of the right breast does not show suspicious cystic or solid masses, or architectural distortion. There are multiple cysts scattered in the right breast, the largest measuring 2.7 x 1.3 x 2.3 cm in the 11 o'clock axis. There is no evidence for right axillary adenopathy. Left: Within 12 o'clock axis of right breast, there is a solid hypoechoic mass with irregular margins and showing intrinsic vascular flow, measuring 1.8 x 1.2 x 1.7 cm. Within retroareolar 6 o'clock axis of left breast, there is a solid irregular hypoechoic mass measuring 2.0 x 1.1 x 1.9 cm and also showing intrinsic vascular flow, with posterior acoustic shadowing noted. There is associated nipple retraction related to this mass. Multiple scattered cysts are noted in the left breast including a 1.1 x 0.7 x 1.0 cm cyst in 2 o'clock axis demonstrating possible intracystic mass or debris. There is indeterminate left axillary lymph node with short axis diameter of 0.7 cm but which shows asymmetric cortical thickness measuring up to 0.3 cm.