Feeling confused and concerned
I’m a recently turned 40 year old woman in Colorado, USA. I went in on April 10 for my screening mammogram and was called back due to a focal asymmetry in my left breast at 3 o’clock posterior depth, approximately 7cm from nipple. There was no mass noted in the screening mammogram.
This morning I went in to follow up (after two weeks of Covid- awful!) and had a diagnostic mammogram and ultrasound. The mammogram did show the asymmetry in question. The tech showed it to me, and it’s really small in appearance, at least according to my untrained, optimistic eyes. :)
They were unable to locate it on the ultrasound. The radiologist mentioned it may be a lymph node but couldn’t definitively say. He did say he wasn’t terribly concerned and that we could follow it in 6 months time or biopsy it and that he recommended to go for the biopsy. I agreed to move forward with it and scheduled for next Friday, May 12.
I am confused, I guess, as it what it could be, as there was no mass seen on either the mammogram or ultrasound. I’ve read about DCIS and IDC but am unsure if either of these could be a possibility.
The radiologist gave me a BI-RADS 4. Is that for insurance to cover the biopsy itself? Would it have been a 3 if I rejected the biopsy and just did the 6 month follow up?
Did I do the right thing here moving forward with the biopsy?
I’m worried as I’m a stay at home mom and care for my young son who has cerebral palsy and epilepsy.
Here is the copy/paste of my report from today. Thank you all so very much for your kindness, information, advice, and support. I mean that. Thank you.
New left breast focal asymmetry without sonographic correlate.
BI-RADS 4: Suspicious
Biopsy of the left breast with tomo guidance.
Findings and recommendations were discussed with the patient at the time of the exam.
The American Cancer Society, US Preventive Services Task Force, American College of Radiology (ACR) and the Society of Breast Imaging agree that the most lives are saved by starting annual mammograms at age 40. Catching more cancers early by starting yearly screening at age 40 - rather than less frequent or later screening - increases the odds of successful treatment and can preserve quality of life for women. The ACR supports the American Society of Breast Surgeons recommendations that women start getting annual screening at age 40. The American College of Radiology is pleased that the American Society of Breast Surgeons has reaffirmed their support of this most sensible approach.
This examination was interpreted by a fellowship trained Breast Imaging Radiologist.
DICTATED BY: (removed for their privacy) Date: 05/03/2023 11:19 MT
TRANSCRIBED DATE: 05/03/2023 11:43 MT
LEFT DIGITAL DIAGNOSTIC MAMMOGRAM WITH TOMOSYNTHESIS AND
TARGETED LEFT BREAST ULTRASOUND
INDICATION: Left breast focal asymmetry recall.
COMPARISON: 4/10/2023 and additional exams dating back to 2020.
Diagnostic mammographic views were obtained per departmental protocol.
Tomosynthesis images were obtained.
Computer-aided detection (CAD) was utilized in the interpretation of this examination.
Targeted Left breast ultrasound.
There are scattered areas of fibroglandular density.
Focal asymmetry persists with spot compression imaging. This is new since the 2020 mammogram.
Physician-directed targeted left breast ultrasound was performed.
There is no solid or cystic mass or suspicious sonographic finding seen in the mammographic area of concern at 2:00-4:00, 7 cm from the nipple.