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Topic: waiting for diagnostic mammogram

Forum: Waiting for Test Results —

For members not diagnosed with breast cancer, but waiting for test results:  Biopsy, mammogram, ultrasound, or other screening tests. Waiting is VERY difficult but remember...

"Worry does not empty tomorrow of its sorrow. It empties today of its strength." -- Corrie Ten Boom

Posted on: Oct 16, 2020 01:41PM

SuzanneAkin wrote:

I am 47 and just had my third mammogram. I received this letter and made an appointment for a diagnostic mammogram next week. I understand the report is not meaning asymmetry of the breasts on the outside, but the inside, but my breasts are actually extremely different sizes. Can this effect my results? I don't understand what any of this means. I have no personal or family history of breast cancer.


The mammogram is "incomplete" and requires additional imaging of the LEFT breast. There is a small area that does not look the same on the right breast. The report states it may be a shadow or technical issue, but it needs to be looked at again.

I have put in an order for a Diagnostic mammogram (higher resolution look at one spot on the left breast) along with an ultrasound.

You should be getting a call to schedule this....or you can call CORA to schedule.

Study Result Impression

Increased asymmetric density seen in the central left breast middle to posterior depth, only noted on the CC projection, possibly technical. Recommend further evaluation with left breast diagnostic mammography and possible subsequent ultrasound.



ASSESSMENT:
BIRADS 0 - Incomplete. Needs additional imaging evaluation.

A letter with results of this study will be sent to the patient.

Electronically signed by: Jozef Brozyna, DO on 10/14/2020 1:25 PM at workstation CS-274-706

Narrative

PROCEDURE: BILATERAL DIGITAL SCREENING MAMMOGRAM WITH TOMOSYNTHESIS

INDICATIONS: Routine screening.

COMPARISON: 04/16/2019 - Mammogram - Cascade Medical Imaging-Bend South
03/02/2011 - Mammogram - Cascade Medical Imaging

TECHNIQUE: Routine screening was performed using 3D technology. The examination was interpreted using computer aided technology.

BREAST HISTORY:
Patient is a 47 year old female who presents for screening. The patient has no personal or family history of breast cancer. The patient has the following family history of other cancer: mother at age 58, colon cancer.

BREAST CANCER RISK ASSESSMENT:
Tyrer-Cuzick Calculation of Lifetime Risk (v.7): 15.9%
For women with a 15-19% lifetime risk of breast cancer, annual screening mammography starting at age 40 with regular self-exams and clinical physical exams are recommended. Additional risk assessment and genetic counseling may be performed at the discretion of the patient and referring provider.
High Risk Clinic: -

FINDINGS:
Breast Composition: Scattered areas of fibroglandular density.

There is slight increased asymmetric density seen in the central left breast middle to posterior depth, only noted on the CC projection.

No suspicious mammographic abnormalities about the right breast.

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Oct 17, 2020 01:55AM cake8icing wrote:

Hi Suzanne:

This post just this past week is similar to your situation and should make you feel better. A call back is very common and you shouldn't worry.

https://community.breastcancer.org/forum/83/topics...


Dx 2/14/2020, DCIS, Left, 3cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 3/20/2020 Lymph node removal: Sentinel; Mastectomy: Left
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Oct 17, 2020 04:28AM Beesie wrote:

Suzanne, here is another one that is very similar to yours. I could pull up many more!

https://community.breastcancer.org/forum/83/topics/877158?page=1#post_5577657


Good luck next week, and let us know how it goes.

“No power so effectually robs the mind of all its powers of acting and reasoning as fear.” Edmund Burke
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Oct 18, 2020 06:28AM Colliesalways wrote:

Hi Suzanne, I won't tell you not to worry while you wait because I know how completely impossible that is! But truly, many of these screening mamo call backs end up being nothing or benign. I noticed your report says the density was only noted on CC view and is possibly a technical issue. I would take that and run with it lol! I think you have a good chance of this being nothing. But being where you are right now is the hardest part of all of this. The not knowing one way or the other. Try to keep busy and not Google too much while you wait for your appointment!

Dx 2/4/2020, IDC: Cribriform, Left, 1cm, Stage IA, Grade 1, 0/3 nodes, ER+/PR+, HER2- (FISH) Surgery 3/19/2020 Lumpectomy: Left; Lymph node removal: Left, Sentinel Radiation Therapy 5/6/2020 Whole-breast: Breast, Lymph nodes Hormonal Therapy 6/10/2020 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Oct 21, 2020 01:57PM SuzanneAkin wrote:

Hi I have an update. Thank you to those who reached out. The radiologist explained to me that I have a dense tissue area that looks suspicious in mammograms, but he found nothing in the ultrasound. I have to go back in 6 months to make sure, but he seemed pretty confident it's nothing but dense breast tissue.


Comments from the Doctor's Office

Suzanne
It looks like the results of the Diagnostic Mammogram were discussed with you and the follow up recommendation for 6 month repeat. They should remind you when the time comes.
If you have any questions or concerns, please let me know.

Thank you for following up on the screening mammogram ~


Study Result Impression

The nodular asymmetry in the mid depth left breast is favored to represent an island of fibroglandular tissue. A precautionary six-month follow-up is recommended to reevaluate.

Diagnostic left mammogram follow-up in 6 months is recommended.


ASSESSMENT:
BIRADS 3 - Probably benign finding(s).

Findings and recommendations were communicated to the patient at the time of examination.

Note: Screening recommendations are based on guidelines from the American College of Radiology.

Electronically signed by: Matthew Bentz, MD on 10/20/2020 2:01 PM at workstation CS-274-706

Narrative

PROCEDURE: LEFT DIGITAL DIAGNOSTIC MAMMOGRAM WITH TOMOSYNTHESIS, ULTRASOUND LEFT BREAST

INDICATIONS: Additional breast imaging, left breast.

COMPARISON:
10/13/2020 - Mammogram - Cascade Medical Imaging-Bend South
04/16/2019 - Mammogram - Cascade Medical Imaging-Bend South
03/02/2011 - Mammogram - Cascade Medical Imaging

TECHNIQUE: Diagnostic mammography was performed using 3D technology. The examination was interpreted with computer-aided detection (CAD) system.

BREAST HISTORY:
Patient is a 47 year old female who presents for diagnostic exam and mass in the left breast. The patient has no personal or family history of breast cancer. The patient has the following family history of other cancer: mother at age 58, colon cancer.

BREAST CANCER RISK ASSESSMENT:
Tyrer-Cuzick Calculation of Lifetime Risk (v.7): 15.9%
For women with a 15-19% lifetime risk of breast cancer, annual screening mammography starting at age 40 with regular self-exams and clinical physical exams are recommended. Additional risk assessment and genetic counseling may be performed at the discretion of the patient and referring provider.
High Risk Clinic: -

FINDINGS:
Breast Composition: Scattered areas of fibroglandular density.

Mammogram: There is a 5 x 8 mm nodular asymmetry in the mid depth left breast 6 cm from the nipple. There are 2 potential correlates on the lateral view, though it is favored to lie in the central breast, the second potential correlate would localize to the 6 o'clock position.

Ultrasound: Targeted ultrasound of the central breast was performed. There is an island of fibroglandular tissue in the 6 o'clock position which may correlate with the mammographic finding. No suspicious shadowing, mass, or abnormal fluid collection is identified. There is no axillary adenopathy.

Component Results

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