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Breast MRI Results

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My doctor recommended that I start receiving Breast MRI exams due to my lifetime risk %, as my mother had a breast cancer diagnosis at 49 years old. She is still a survivor 18 years later. I just turned 43 years old, and consider myself relatively healthy. I had an abnormal mammogram two years ago, and after a sonogram, the abnormal mass was biopsied and turned out to be a Fibroadenoma. And, last year's diagnostic mammogram came back unremarkable, for both breasts. So, this Monday I had my first Breast MRI and a few short hours later I got the report indicating an abnormal reading in my right breast: "a small arterially enhancing nodule identified within the inferior medial aspect of the retro-areolar region of right breast (5:00 position), measuring 6.8 x 4.9 x 6.2 mm, demonstrating type III washout kinetics, recommend right breast diagnostic mammogram and ultrasound for further characterization."

This took my breath away, because I am obsessed about doing my monthly checks, and I have felt nothing abnormal. No one from my doctors office contacted me to explain these findings, so I entered it into ChatGPT to translate for me (yes, I used AI). I probably shouldn't have done that, because it contained basically all of the scary things. After contacting my primary care physician's office, I got an email telling me to remain "positive" and that the MRI found "very small abnormalities" that need further imaging.

Honestly, I don't know why I am posting here, maybe for more information, support, guidance on how to proceed? My mom leaned heavily on Breastcancer.org during her journey, so here I am too. I was warned that Breast MRI's are highly sensitive, and "if you go searching, you will find something"… I guess I went into it naively hoping for the best, but it might have found something that might, quite literally change my life…

Right now, all I know is that I have a tiny nodule, that might be hooked up to a blood source that is demonstrating a Type III washout kinetics (still don't know what that means, but AI told me it is apparently not good). It might turn out to be nothing, but it also might be something?

Comments

  • moderators
    moderators Posts: 8,089
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    Hi @ltapia30 and welcome to Breastcancer.org. We're so very sorry for the worries that bring you here, but we're really glad you've turned to us, the trusted resource your mom put so much stock in. As she surely experienced, and we're sure you will too, our community is a wonderful resource of advice, information, encourgement, and support — if it turns out you need it. We're all sending good thoughts your way and hope this is all nothing to worry about. It's great you've been so diligent about your breast health and we're sure you'll get some answers soon. Others will surely be by soon with their experiences with MRI and follow up testing.

    In the meantime, we hope you can remain calm until you have some answers. Let us know how else we can support you!

    —The Mods

  • ltapia30
    ltapia30 Member Posts: 4
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    Thanks Mods. I go in for my mammogram and sonogram tomorrow. Google told me that having a Type III Washout on a breast MRI is not good… I think it was referred as a "cancer curve". So that was fun to read. So, I am basically going into tomorrow ready to hear it's highly likely cancer.

  • clark1304
    clark1304 Member Posts: 19
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    If it helps at all, I had a similar process (and have had MANY benign biopsies via ultrasound), finally had an MRI and they found a 5mm focal non-mass with type III washout kinetics (also was having armpit pain by the lymph node area). I was convinced it was malignant (mostly because of the washout kinetics and armpit pain). After a biopsy and waiting, I found out it was a benign lesion (that also sometimes presents with washout kinetics); atypical lobular hyperplasia. I was completely convinced I would hear it is cancer and prepared myself for that news. In the end, it's something we are going to monitor. Many benign lesions present as suspicious! I kept reminding myself that I moved ahead with the MRI to catch whatever I could early. Good luck and keep us posted!

  • ltapia30
    ltapia30 Member Posts: 4
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    Thank you Clark1384, I really appreciate your comment to my post. I'm having to reminding myself, almost every minute, that the present moment is all I really truly have control of. I will update when I know more. :)

  • moderators
    moderators Posts: 8,089
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    It is very hard to control the anxiety that comes with the waiting period, @ltapia30. But imaging in and of itself is not diagnostic. They do need additional information before they can officially determine whether it's benign or malignant. We know it's difficult to manage the fear and worry, and you're collecting as much information as you can, but it's not possible to diagnose based on this information alone yet. We've found one of the most effective ways people get through the waiting period and manage the anxiety is to find distractions. It may not be possible to completely eradicate it from your awareness, but even reducing your ability to focus on it cognitively down to 50% of your focus will likely engender some reduction in the anxiety to some degree. Please let us know what you hear tomorrow. We'll be holding you in our thoughts. ❤️

  • katg
    katg Member Posts: 214
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    Itapiaa30- I agree with what was said. I am happy to hear the post with nearly the same information for her diagnosis as yours. I just want to add that the fact you are getting a sonogram/ultrasound? and mammogram tomorrow is so good to hear. Those tests are annoying, but they give the medical team more information. My friend had told me her lumps were always benign. Do the next indicated thing every day. Take a walk. Read a magazine. Do some housework. Take some deep breaths. You will be ok. My results were not benign, but I knew I had the support of friends, family and the medical team. Family members having cancer is a reason to get checkups. It is good to hear your mother is 18 years out. Prayers.

  • ltapia30
    ltapia30 Member Posts: 4
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    Got my diagnostic mammogram and ultrasound today. My mammogram couldn’t show the suspicious mass (thank goodness I got an mri), few minutes later I received an ultrasound. They found the nodule and it was described in the report as “There is a subtle focal hypoechoic solid-appearing nodule in the retroareolar region of the right breast at approximately 5:00 measuring 6.8 × 2.9 × 6.5 mm, corresponding with the enhancing nodule identified on breast MRI from 5/13/2024.” Spoke with the radiologist after the ultrasound. He said because I have a history of a previous Fibroadenoma, he said I could wait and come back in 6 months to do additional imaging to see if anything changed. I told him that I would prefer to get it biopsied. If I waited, I literally would not be able to sleep at night for those 6 months. He said, ok, we can biopsy. In my report he then labeled my nodule a Bi-Rads score a 4b. So not sure what to make of that.

    Went to schedule, and the next available date is June 19!!?!! I called another diagnostic center 30 minutes away in Reno, NV (I live in Truckee, CA) and the soonest they could get me in is June 15th! So I guess I continue to wait. 🤨