Dimpling in left breast at 26, worsened over time, ultrasound scheduled
Thank you for providing this space. I am 26 years old with no history of trauma or surgery to the breast. I also have no children and have never breastfed. As I am in between insurance during the midst of all this (recently lost my job), I do not have a PCP and paid out of pocket to be seen as soon as possible. The doctor was puzzled by my symtpoms but referred me for an ultrasouund. I am wondering if I should push for additional testing?
My symptoms: A dimple exclusive to my left breast (lower outer quadrant) that has worsened over time. I put a screening off due to fear and avoidance. I couldn't find a lump on my own (my breast is normally lumpy). During his exam, the doctor said he felt a “cyst” and "dense tissue." He explained that the cyst wouldn’t explain the “significant” dimpling which is worse upon movement (deepens when I raise my arm up, lean forward, and flex).
The left breast also looks like a different shape when I flex it and especially compared to the right. Almost like someone took a small chunk out of my boob when I flex? I can feel the dent regardless of movement though the dimple itself is much more subtle just standing there.
I do have stretch marks but these are relatively symmetrical and appear on both breasts. I am hoping the symptom is some kind of unusual stretch mark or cellulite situation but it's hard to imagine either of those would cause the pulling observed when I flex.
Any thoughts on this symptom and guidance regarding patient advocacy given my age and symptoms? My doctor mentioned dense tissue during the physical exam but I thought that could only be seen on imaging? Can someone explain what he meant? Shold I be requesting additional testing in addition to the ultrasound or is that enough? Just need general tips for navigating this situation and coping with some of the fear.
Thank you so much.