Topic: Interpreting Your Report

Forum: Not Diagnosed But Worried — For those who are experiencing symptoms or received concerning test results, but haven't been diagnosed with breast cancer.

Posted on: Aug 25, 2017 11:30AM - edited Mar 22, 2018 09:57AM by djmammo

Posted on: Aug 25, 2017 11:30AM - edited Mar 22, 2018 09:57AM by djmammo

djmammo wrote:

Mammogram and ultrasound reports contain (should contain) a fairly specific vocabulary as recommended by the Birads Lexicon. They have very specific meanings so if used correctly other docs can picture in their mind what the abnormality looks like without seeing the actual images.

I have divided the more common terms into 2 groups Favorable and Less Favorable, favorable meaning it leans toward the benign side, and less favorable if leaning toward the malignant side (as no finding is 100%). This in combination with the Birads score should give you a good idea about what the rad is considering if in fact they did not speak directly to you about your results. Below that is a link for a downloadable guide which is more complete.

Favorable: Oval; parallel; circumscribed; anechoic; hyperechoic; isoechoic; posterior enhancement or good through-transmission; avascular; macrocalcifications include pop corn, large rod like, rim, milk-of-calcium.

Less Favorable: Irregular; non-parallel (can also be written as "taller-than-wide"); not-circumscribed margins includes indistinct, angular, microlobulated, and spiculated; hypoechoic; posterior shadowing; architectural distortion; internal vascularity; microcalcifications including amorphous, coarse heterogeneous, branching, fine pleomorphic.

Downloadable Quick Reference Guide PDF which also includes MRI terminology

Board Certified Diagnostic Radiologist specializing in Breast Imaging. Contact me at DJMammo@gmail.com
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Aug 25, 2017 01:09PM - edited Aug 25, 2017 01:09PM by shellsatthebeach

This is great information. What does rare foci of lymphatic/vascular invasion noted mean? This was on my path report.

Dx 3/2017, IDC, Left, 3cm, Stage IIIB, Grade 2, ER+, HER2- Chemotherapy 8/3/2017 AC + T (Taxotere) Surgery 8/28/2017 Lymph node removal; Mastectomy; Mastectomy (Left) Dx 9/15/2017, DCIS/IDC, Left, Stage IIIB, Grade 3, 6/10 nodes, ER+/PR+, HER2- Targeted Therapy 9/24/2017 Herceptin (trastuzumab) Radiation Therapy 10/17/2017 Breast, Lymph nodes, Chest wall Targeted Therapy Perjeta (pertuzumab)
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Aug 25, 2017 08:40PM djmammo wrote:

was this from a core biopsy or excision? Would help to see it in context but it means there is evidence that tumor cells have entered the lymphatics and blood vessels but it is only evident here and there in the specimen. Can you PM me the entire report?

Board Certified Diagnostic Radiologist specializing in Breast Imaging. Contact me at DJMammo@gmail.com
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Aug 25, 2017 11:00PM Jeah wrote:

Hi djmammo

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Aug 25, 2017 11:04PM Jeah wrote:

I tried to contact you thru pm,

I got d result of my mammo

Findings: the breast are heterogeneously dense, which may obscure small masses

A lucent centered calcification is seen in the right periareolar area

No dominant mass, abnormal microcalcification, skin changes/ nipple tetraction seen

Assessment: heterogeneously dense, bilateral

Benign breast calcification, right

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Aug 27, 2017 10:00PM txbluebonnet wrote:

I downloaded the pdf I will be comparing my MRI results to this list, thank you so much djmammo. I will probably be a wreck until then (Sept 8th) I'll probably pm you then if you don't mind. again thanks for all you do for us on this site.

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Aug 27, 2017 10:47PM Beatmon wrote:

Thank you for always being so helpful

Dx 7/27/2012, IDC, <1cm, Stage IA, Grade 3, 0/1 nodes, ER-/PR-, HER2+ Surgery 8/9/2012 Lymph node removal: Left, Sentinel; Mastectomy: Left, Right Surgery 12/1/2013 Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 7/1/2014 Reconstruction (left); Reconstruction (right) Dx 8/9/2014, IDC, Both breasts, Stage IV, metastasized to lungs, Grade 3, ER-/PR-, HER2+ Targeted Therapy 8/27/2014 Herceptin (trastuzumab) Targeted Therapy 8/27/2014 Perjeta (pertuzumab) Chemotherapy 8/27/2014 Taxotere (docetaxel)
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Sep 1, 2017 02:04PM sable081 wrote:

I got my report of breast compression and ultrasound I was trying to post the report here if anyone can help (it told me I cant post links at this time but im not understanding what this means (( In the 9;00 axis 3cm from nipple there is an oval circumscribed benign-appearing mass with posterior enhancement measuring 8x5x8 MM this likely represents a complicated cyst and corresponds to the mammographic asymmetry)) and don't know what this means the 7MM left breast asymmetry (Breast compostion- the breast are heterogeneously dense -The 7 MM left breast asymmetry in the mid third depth, inner breast persists on spot compression Birad 3 probably benign 6 month follow up recommended to assess for stability no suspicious mass , no architectural distortion or group of microcalcifications( is the different between complex cyst and complicated cyst if anyone can help me with what this meansi was just left in the dark my OB/GYN is on vacation for 2 weeks and i just got my report from the hospital just nervous and with braid 3 i have a 6 month follow up do i have to go every 6 months for 2 years because its braid 3 any help or information i can get appreciate it again :(

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Sep 2, 2017 08:02PM - edited Sep 2, 2017 08:04PM by Southernmess

Hi I'm so glad I found this. I'm having a hard time reading my ultrasound report. Please help. 1.impression:in the axilla there is a benign appearing old inflammatory node and within the breast proper there are 2 small cysts. 2.Benign finding Sonogram of thecomplete left breast: In the tail of the breast there is a 6.0x6.0x5.0mm well demarcated solid nodule with an echogenic center, 3o'clockthere is a 2.0x1.0x2.0cyst and at 11o'clock 4.0x4.0x2.0cyst. I don't understand what an old benign inflammatory node is.

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Sep 2, 2017 10:02PM djmammo wrote:

Sounds like a normal report to me. Any description that starts with the word "benign" is a good description.

Board Certified Diagnostic Radiologist specializing in Breast Imaging. Contact me at DJMammo@gmail.com
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Sep 7, 2017 03:43PM dressmaker wrote:

Left early stage breast cancer 2003 age 45. Had 3D mammo yesterday with a call from nurse today saying I needed to return for compression views and ultrasound of my right breast because of a density. Isn't a density a normal finding.?

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