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Topic: Asymmetry & Architectural Distortion, or not?

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: Sep 14, 2021 05:26PM - edited Sep 14, 2021 05:27PM by snufkin

snufkin wrote:

Hi there,

This forum has been such a wonderful source of information for me as I have lurked here for the past few days, and in past years. Despite my best efforts, I'm a bit anxious, so I hope you kind folks don't mind me sharing here.

I had a screening mammo on Sept 3, and was called back the next day to schedule a diagnostic. Went back in a week later, where they took several more images of my left breast, but couldn't seem to find what they were looking for. Booked for an ultrasound.

I do have two palpable lumps on the right side. So, I was surprised when they wanted to take a closer look at the left and not the right. I got a copy of my reports today, and it doesn't appear that my right side lumps were detected on the mammogram at all. My initial screening report says:

“There is an asymmetry with associated architectural distortion in the medial left breast. In the right breast, no suspicious masses, calcifications or other abnormalities are seen. BiRads 0"

The diagnostic report says that “the screening detected asymmetry with potential architectural distortion is not reproduced on repeat diagnostic and spot compressed views. Summation of normal fibroglandular tissue vs true finding obscures by heterogeneously dense parenchyma? BiRads 0"

It recommends ultrasound and if that's normal, repeat mammogram in 6 months.

Two 0s in a row. I hate uncertainty! Anyway, I'll be having an ultrasound of my left breast on Monday. Meanwhile, I have these two lumps in my right breast which weren't detected on the mammogram. I have an appointment to speak to my doctor tomorrow and will ask about a right side u/s as well. I suspect they are likely cysts, but I would like to make sure. Dense breasts sure make good hiding places. Yikes!

I'm not sure if I even had a question. :) I just needed to share and I thank you for having me here.

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Sep 15, 2021 09:54AM LivinLife wrote:

Ask about an MRI for the lumps that aren't showing up... If they truly think they are cysts then they may have another recommendation, possibly ultrasound as you will ask. Best with the upcoming ultrasound... it would certainly be maddening to have 2 consecutive BIRADS 0.... Hopefully you get more information Monday! Hang in there...

with expansive comedo necrosis & weak ER/PR Dx 7/2020, DCIS, Left, 2cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 8/30/2020 Mastectomy: Left; Prophylactic mastectomy: Right
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Sep 15, 2021 01:04PM snufkin wrote:

Hi LivinLife!

I sure appreciate your advice, thank you! I will request an MRI should the ultrasound not tell us anything more. Maddening, indeed! That said, I shall continue trying not to worry about what I don’t know. Channelling my nervous energy into fall housekeeping seems to be working Many thanks for your well wishes!



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