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 08:30AM - edited Mar 22, 2018 06:57AM by djmammo

Posted on: Aug 25, 2017 08:30AM - edited Mar 22, 2018 06:57AM 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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Jan 14, 2018 10:53AM - edited Jan 21, 2018 08:25AM by Sunnyone22

This Post was deleted by Sunnyone22.
Carpe Diem Dx 1/15/2016, ILC, Left, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR-, HER2- Surgery 2/16/2016 Lumpectomy: Left; Lymph node removal: Sentinel Radiation Therapy 3/14/2016 Whole breast: Breast Hormonal Therapy 4/1/2016 Femara (letrozole)
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Jan 14, 2018 11:25AM veeder14 wrote:

My MRI report indicated a 5 mm mass and listed a couple of other things I didn't understand. It wasn't real specific. I don't know what BiRADS 45 means though. I was told when they did the MRI biopsy the images were taken from different views than the initial MRI and that's why there was more specific info.

Dx 1/2/2018, ILC, Left, <1cm, Stage IB, Grade 1, 0/7 nodes, ER+/PR+, HER2- Surgery 1/25/2018 Lumpectomy; Lumpectomy (Left); Lymph node removal Radiation Therapy 3/7/2018 Hormonal Therapy 2/28/2019 Hormonal Therapy
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Jan 14, 2018 01:51PM djmammo wrote:

Wathom

Regarding the wording of the US report: if those are accurate descriptions of the abnormalities by the radiologist, there aren't many benign masses I can think of with that appearance. Together with your history of chest irradiation the biopsies will likely come back abnormal.

Board Certified Diagnostic Radiologist specializing in Breast Imaging. Contact me at DJMammo@gmail.com
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Jan 17, 2018 10:28AM Wathom wrote:

I am expecting it to be malignant, I should know tomorrow. Thank you very much for your reply.

Dx with Hodgkin's Lymphoma 4/16/99. Treated with ABVD chemo and chest radiation. Breast cancer Oncotype Score 17. Dx 1/18/2018, DCIS/IDC, Left, Stage IA, ER+/PR+, HER2- Surgery 2/25/2018 Mastectomy: Left, Right Hormonal Therapy 3/27/2018 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 7/26/2018 Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap
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Jan 20, 2018 08:16AM - edited Jan 20, 2018 08:16AM by newenglandrn

I am 46yo and have had yearly mammograms since age 35 (my mother had breast CA at age 63) and have never been called back. I had my first 3D mammogram last Friday and was called back for an ultrasound.Thanks in advance for any thoughts on the results.

Here are the mammogram results:
Comparison is made to exams dated: 1/11/2017 and 12/10/2015.

The tissue of both breasts is heterogeneously dense. This may lower the sensitivity of mammography. There is a new 2 cm round asymmetry with an indistinct margin in the right breast middle depth central to the nipple seen on the craniocaudal view only.
No other significant masses, calcifications, or other findings are seen in either breast.
IMPRESSION: INCOMPLETE: NEEDS ADDITIONAL IMAGING EVALUATION
The new 2 cm round asymmetry in the right breast appears indeterminate. An ultrasound is recommended.

Ultrasound results from Wednesday:

There is a 1.1cm wider than tall irregular mass with an indistinct margin in the right breast at 6 o'clock anterior depth. This irregular mass is hypoechoic with posterior acoustic enhancement. Color flow imaging demonstrates no vascularity present.

There is also a benign appearing 7mm wider than tall oval simple cyst with a smooth internal wall in the right breast at 7 o'clock anterior depth. This oval simple cyst is anechoic with an abrupt boundary. This correlates with mammography findings.

IMPRESSION: SUSPICIOUS FINDING- BIOPSY SHOULD BE CONSIDERED- FOLLOW UP RECOMMENDED

The 1.1 cm winder than tall irregular mass in the right breast at 6 o'clock anterior depth resembles a complex cyst or a solid mass and appears suspicious of a malignancy. An ultrasound guided biopsy is recommended.

The 7mm wider than tall oval simple cyst in the right breast at 7 o'clock appears benign.

BI-RADS: 4 Suspicious finding- biopsy should be considered

I am scheduled for a biopsy this Tuesday. And then leaving the country on Friday for 2 weeks. Hoping to have the results before I leave.

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Jan 20, 2018 01:22PM Ja9831 wrote:

Hi

I'm new here and a little concerned. I'm 39 and had my first mammogram done in oct. My mom past away 4 years ago due to breast cancer. I work for a obgyn so it was advised I go and get a mammogram done. So I did.

It stated that I had very dense breast and a follow up was recommended birads 0. I did the follow up last week. I had the mammogram and ultrasound done. And was advised to have a mri done. That I'm going to do on Monday morning. So I got my report from the mammogram and ultrasound basically my results says things like. Architectural distortion, irregular Hypoechoic mass, lobulated enlonged mass, oval Morphologic suspicion, birads 0. So I'm freaking out a little ugh!

Dx 4/8/2019, LCIS, Left
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Jan 20, 2018 01:56PM djmammo wrote:

newenglandrn

It looks like the mammo finding was a cyst but something else was seen that requires a biopsy. It has mixed features, some OK some suspicious. The wider than tall, posterior enhancement and no blood flow are all good signs.

Let us know what the biopsy shows.

Board Certified Diagnostic Radiologist specializing in Breast Imaging. Contact me at DJMammo@gmail.com
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Jan 20, 2018 01:58PM djmammo wrote:

Ja9831

The exact wording of the reports would help me interpret the findings better but any time these terms are used "Architectural distortion, irregular Hypoechoic mass" a biopsy would be indicated.

Are they doing the MRI before or after the biopsy?

Board Certified Diagnostic Radiologist specializing in Breast Imaging. Contact me at DJMammo@gmail.com
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Jan 20, 2018 02:55PM newenglandrn wrote:

Thanks for the information. The radiologist told me the cyst was found on the US and not seen on the mammogram. They did another mammogram after the US to confirm the cyst location.

I will let you all know what the biopsy shows :)


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Jan 21, 2018 09:07AM Ja9831 wrote:

yes she told me let’s see what the mri says first, most likely a biopsy will be needed but let see what the mri says first

Dx 4/8/2019, LCIS, Left

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