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Topic: Interpreting Your Report

Forum: Not Diagnosed but Worried —

Meet others worried about developing breast cancer for the first time. PLEASE DO NOT POST PICTURES OF YOUR SYMPTOMS. Comparing notes, symptoms, or characteristics is not helpful here, as only medical professionals can accurately evaluate and assess your individual situation.

Posted on: Aug 25, 2017 10:30AM - edited Mar 22, 2018 08:57AM 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 helping members understand their health care provider's reports and recommendations.
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Mar 11, 2018 03:46PM djmammo wrote:

LDepp71

Birads 2 by definition means there are only benign findings seen, no suspicious findings. If they thought it was cancer it would not have a Birads 2, there would have been a recommendation for more imaging or a biopsy.

Board Certified Diagnostic Radiologist specializing in Breast Imaging helping members understand their health care provider's reports and recommendations.
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Mar 12, 2018 07:16PM Great914 wrote:

Hi, I am new to this sight. I was recently called back in for a diagnostic mammogram and ultrasound. My mom was diagnosed at 49. They told me that I need a biopsy ( scheduled for March 23)and labeled me as a Bi-rad 4b.... I believe due to pleomorphic calcifications with branching patterns. Here is the report:

MAMMOGRAPHIC FINDINGS: Right 2-D and 3-D ML as well as diagnostic spot magnification views were obtained. There are scattered areas of fibroglandular density. Again demonstrated is a 0.5 cm mass in the central right breast (MLO view) which projected to
the inner breast on the screening mammogram images. Patient was sent for targeted ultrasound of the central right breast for further evaluation. There is a 0.2 cm group of pleomorphic calcifications in the lower inner right breast, with suggestion of a
branching distribution.

RIGHT BREAST ULTRASOUND: Sonographic evaluation of the central inner right breast was performed.

At the 2:00 position 3 cm from the nipple, there is an oval, circumscribed, anechoic mass compatible with a benign simple cyst measuring 0.4 x 0.2 x 0.4 cm.

At the 2:30 position 4 cm from the nipple, there is an oval, circumscribed, anechoic mass compatible with a benign simple cyst measuring 0.5 x 0.4 x 0.6 cm. This appears to correspond to the mammographic mass for which the patient was called back.

At the 3:30 position 5 cm from the nipple, there is an oval, circumscribed, anechoic mass with internal septations, compatible with a benign cluster of cysts measuring 0.4 x 0.3 x 0.5 cm.


IMPRESSION AND RECOMMENDATION:

1. Suspicious 0.2 cm group of calcifications in the lower inner right breast. Stereotactic core needle biopsy is recommended.

2. Benign right breast cysts, one of which corresponds to the mammographic mass .

THE FINDINGS AND RECOMMENDATIONS WERE DISCUSSED WITH THE PATIENT AND SHE WAS PROVIDED A WRITTEN SUMMARY AT THE TIME OF HER EXAM. FINDINGS AND RECOMMENDATIONS WERE ALSO COMMUNICATED TO DR. HEIDMANN VIA WEB-PAGE BY DR. TUMER ON 3/1/2018 AT 3:45 PM.

BI-RADS CODE:4-SUSPICIOUS ABNORMALITY-BIOPSY SHOULD BE CONSIDERED
FINAL REPORT
THE ATTENDING RADIOLOGIST INTERPRETED THIS STUDY WITH THE RESIDENT
WHOSE NAME APPEARS BELOW, AND FULLY AGREES WITH THE REPORT
AND HAS AMENDED THE REPORT WHEN NECESSARY:

BI-RADS CODE: 4-Suspicious abnormality, biop
4B-Intermediate suspicion
Recommendation: Tissue Sampling

I'm hoping that someone can help me understand this and give me a realistic perspective on if this could really be malignant. Any help is greatly appreciated!!!

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Mar 12, 2018 08:40PM djmammo wrote:

Great914

Their description of the calcifications sounds like they are suspecting DCIS. All the other findings are benign cysts.

Board Certified Diagnostic Radiologist specializing in Breast Imaging helping members understand their health care provider's reports and recommendations.
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Mar 12, 2018 08:42PM Great914 wrote:

Thank you

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Mar 13, 2018 01:14PM Nicky28 wrote:

thank you for this info. I just joined tonight but it looks like you are fantastic help on here.

Are u able to tell me if there is more than one area of architectural distortion in the same breast along with a intramammory lymp node noted and heterogeneously dense breasts does the chance of it being cancer increase? I am waiting on an appointment with a surgeon.

Thanks in advance


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Mar 13, 2018 01:50PM djmammo wrote:

Nicky28

Architectural Distortion is a finding on a mammogram not a diagnosis.

Although AD can be an early sign of cancer there are other things that can cause this appearance on a mammogram including incomplete compression during the acquisition of the mammogram image. The mere presence of an intramammary lymph node does not effect the chances unless it is itself abnormal. Dense breasts can make it difficult to tell what is causing the AD. If there are two areas both will have to be evaluated with spot compression images and ultrasound.

Can you copy/paste the report that mentions all this?

Board Certified Diagnostic Radiologist specializing in Breast Imaging helping members understand their health care provider's reports and recommendations.
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Mar 13, 2018 05:05PM - edited Mar 13, 2018 05:10PM by Rondeezee

Hi djmammo,

Is it safe to assume that if the radiologist or PCP did not phone you on the day of your MRI that they found nothing of concern? I had my first MRI yesterday morning and was told that if the radiologist saw something of concern, he/she would notify my PCP immediately. Also of note, my recent mammogram and ultrasound were performed at the same site so they have immediate access to those records. A day and a half have gone by and I have not heard from my PCP and I see that the report is pending in the electronic portal. I'm nervous. Please advise.


Thanks.

Dx 3/28/2018, DCIS/IDC, Left, 2cm, Stage IA, Grade 2, 0/2 nodes, ER+/PR+, HER2- (FISH) Surgery 8/15/2018 Mastectomy; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap
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Mar 13, 2018 07:02PM djmammo wrote:

RhondaJ

Never read anything into how long it takes to get a radiology report. It could be something very simple like the doc who is supposed to read it had a flood in his basement and had to run home. Could be anything.

Do you have old studies from elsewhere that would have to be sent for? That's the #1 reason for a delay in breast imaging reports in my experience.

Board Certified Diagnostic Radiologist specializing in Breast Imaging helping members understand their health care provider's reports and recommendations.
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Mar 13, 2018 07:31PM Rondeezee wrote:

Hi djmammo,

All studies for the past 10 years were done on site where the MRI was done. The report is pending in the electronic portal

Dx 3/28/2018, DCIS/IDC, Left, 2cm, Stage IA, Grade 2, 0/2 nodes, ER+/PR+, HER2- (FISH) Surgery 8/15/2018 Mastectomy; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap
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Mar 13, 2018 08:02PM - edited Mar 13, 2018 08:02PM by cwf1018

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Mar 14, 2018 11:09AM LDepp71 wrote:

Hi djmammo,

Thank you. Your input is greatly appreciated :)


Lis

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Mar 19, 2018 03:32PM - edited Mar 19, 2018 05:33PM by Miss_Vickie

Hi DjMammo....here are my various reports on my left breast thus far.  I hope you can make heads or tails out of them.  I have a biopsy scheduled this Wednesday on my left breast and a diagnostic mamm and u/s on my right breast because their radiologist said he saw something on that breast.

Diagnostic Mamm of Left Breast:

SCREEN BILAT.

SPOT MAGNIFICATION OF LEFT BREAST:

The left breast is heterogeneously dense, which may reduce the sensitivity of mammography.

The spot magnification demonstrates a group of mildly pleomorphic microcalcifications in the far posterior aspect of outer portion of left breast. A stereotactic biopsy, is advised.

ASSESSMENT:

Category 4: Suspicious

Recommendation

Stereotactic biopsy of the left breast. CONCLUSION: Stereotactic biopsy of microcalcifications of left

breast, is recommended. Suspicious abnormality - Biopsy recommended. ACR Class IV.

>>>>>>>>>>>(diagnostic Mamm of Left Breast at my local hospital/cancer center)<<<<<<<<<<<<

There is a 10x4mm cluster of coarse heterogeneous calcifications in the 2-3 o'clock posterior third (15cm from nipple) that is mildly suspicious.

There is a 1 mm cluster of 3 coarse calcifications at left 3 o'clock posterior third (14 cm from nipple).

There is a 5x1 mm cluster of coarse heterogeneous calcifications  at left 6-7 o'clock posterior third (13mm from nipple).

The two smaller calcifications clusters appear similar to larger cluster.

Assessment:  Suspicious Bi-Rad 4

Suspicious (Bi-Rad 4) abnormality of left breast.  

Recommendation:  Stereotactic biopsy of the left breast at 2-3 o'clock poserior third calcification cluster.

>>>>>>>>>>>MRI w. Contrast at my local hospital/cancer center<<<<<<<<<<<<

...demonstrate 5x21mm suspicious heterogenous calcifications in the ductal distribution at 3:00 far posterior third.  A stereotactic biopsy was recommended but the patient apparently desires MRI before biopsy.  

Siemens 1.5 Tesla MRI Scanner

Heterogeneous fibroglandular tissue

Background Parenchymal Enhancement: Mild

No suspicious mass or enhancement, Axillary Lymph nodes: Normal.  Internal Mammary Lymphy Nodes: Normal.

Bi Rads  Category 1 - Negative. No MRI evidence of malignancy.

The MRI radiologist called me a few hours after my exam said that he suspects low to intermediate grade of DCIS and to get it out within the month.  




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Mar 19, 2018 11:14PM - edited Mar 20, 2018 12:03AM by leeser

Hi, 

I have an ultrasound report as follows; INCOMPLETE IMPRESSION; NEEDS ADDITIONAL IMAGING.

the 8mm oval mass is indeterminate. it is unclear if this finding corresponds to the questioned mammographic finding. (no significant masses, calcifications or other findings are seen in either breast on mammogram) findings were compared to mammograms dated 8/2015, 5/2012.

oval mass in left breast at middle depth with indistinct and circumscribed margin . Hypo echoic with no vascularity.  Doctor called the solid mass an "anomaly" and I will be getting an MRI. No other info on my report. I am 53 year old and in excellent health.  No history of cancers in family. I have heterogeneously dense breasts. I thought an MRI is reserved for high risk patients. Please give me some feedback. Thanks

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Mar 20, 2018 07:14AM djmammo wrote:

Miss_Vickie

The negative MRI is good news. If there were an significant invasive cancer present it should have shown up. MRI will show DCIS in many cases but not all.

On the mammogram the calcifications were described as coarse and clustered, classic DCIS is fine calcs in a branching pattern. Although it still could be DCIS, things like AHD and other atypias can present like this.

When all the calcifications look the same on a mammogram, a stereo of one group is often considered sufficient to diagnose all of them. Let us know what they find.

Board Certified Diagnostic Radiologist specializing in Breast Imaging helping members understand their health care provider's reports and recommendations.
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Mar 20, 2018 07:21AM djmammo wrote:

leeser

Personally if this was a new nodule I would have recommended an US guided bx. I believe it may actually be less expensive than the MRI and give you a definitive answer plus with marker placement it would tell you if it corresponds to the mammo finding. On the other hand the MRI will tell you if there are one or two nodules present (i.e. one seen on US and one seen on mammo).

"High Risk" as regards MRI refers to a screening mri which is different from a diagnostic mri which is done to evaluate findings on other imaging or for pre-op evaluation of a known cancer.

Board Certified Diagnostic Radiologist specializing in Breast Imaging helping members understand their health care provider's reports and recommendations.
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Mar 20, 2018 12:22PM grl06c wrote:

Hi djmammo,

Thank you so much for what you do! I was hoping to get some feedback on a report. I am having a biopsy done on Friday but still have not received feedback by my radiologist on what the report was referencing to in terms that I can understand. I felt like the report was pretty vague in terms of describing what was found, but maybe I am missing something. Thanks so much in advanced!

"Findings: Right breast shows dense breast tissue and dilated ducts. Area of palpable abnormality shows a soft tissue density with well-defined borders with no internal vascular flow. Identified measuring 1.3 x 1.0 x 0.7 cm. No other solid cystic right breast lesion is identified. There is a 0.7 cm axillary lymph node.

Left breast shows dense breast tissue and dilated ducts. There is a soft tissue density and o'clock (I think this is a typo) position which appears to represent normal breast tissue visualized on the 3d imagine.

Impression: The right breast 7 o'clock position palpable abnormality corresponds to a solid, well-defined soft tissue density. Due to patients' strong history of breast carcinoma, the solid tissue density visualized by ultrasound, and the density being palpable a surgical consult and breast biopsy is recommended.

BI-RADS 4: Suspicious finding."

I am 30 years old. Thank you so much in advance for your help! This has been a stressful time and I am just trying to better understand my situation.

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Mar 20, 2018 01:37PM - edited Mar 20, 2018 01:37PM by leeser

Thanks for your answer!  I guess I am mad because there is no BIRADS on the report, I never got a letter about the results and I have no idea if this mass is mostly benign or something else. The rd actually called the mass "a thing" which did not help me feel any better.  What are the odds a new mass in a post menopausal woman is benign. 

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Mar 20, 2018 06:32PM djmammo wrote:

grl06c

If you transcribed the report(s) exactly then I am unimpressed with their dictation style, content, and organization. They are mixing mammo, US and general x-ray terms willy nilly. I will spare you the details but I would use this to show residents the wrong way to dictate a breast imaging report.

There is one finding and this is the small nodule on the left. A limited number of descriptors were used but they are all benign descriptors. No malignant adjectives were used. The lymph node is normal in size.

The part I agree with is the conclusion. A new solid nodule + family history = biopsy. No brainer. May still be benign but this is the correct conclusion and recommendation.

Board Certified Diagnostic Radiologist specializing in Breast Imaging helping members understand their health care provider's reports and recommendations.
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Mar 20, 2018 06:48PM djmammo wrote:

leeser

"Needs additional imaging" is by definition BIRADS 0. No diagnosis should be inferred from a B0, just that there is a need for more pics.

"I have no idea if this mass is mostly benign or something else" and neither does the person reading the study as indicated by the conclusion that the finding is "indeterminate". The descriptors used however are all benign ones. There is no mention of spiculation on mammo or shadowing on US which is certainly comforting. No idea why someone would call it an "anomaly". Odd choice of words.

The incidence of breast cancer increases with age. A new solid lump in a post menopausal patient has to be viewed with more suspicion than a young cycling woman. The MRI should clarify things.

Board Certified Diagnostic Radiologist specializing in Breast Imaging helping members understand their health care provider's reports and recommendations.
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Mar 21, 2018 12:19AM leeser wrote:

Thanks again!  I'm encouraged by the wording and your interpretation. Just a waiting game now to get this MRI scheduled as soon as insurance approves it.

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Mar 21, 2018 08:31AM grl06c wrote:

Thank you djmammo. That is word for word what the report said. I obviously do not know the correct terminology for the reports, but I did feel as though it didn't include much compared to other reports I have seen from members on this forum. The surgeon who is doing my procedure also found a few errors in the report and had his med school student who is studying under him call and complain. It felt nice that someone was just as upset as I was about this other doctor's lack of effort (or at least that is what it felt like from my perspective). I understand the radiologist works on many reports per day, but this is impacting my entire life right now. Thanks for your input! You are so appreciated!

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Mar 21, 2018 04:35PM Lboquist wrote:

I have a situation where I had an ultrasound on my right breast and the radiologist saw a 12 mm lesion without defined margins. He told me it was not a cyst and recommended a core biopsy. The biopsy was the vacuum assisted type and he took 10 samples from the tumor. My pathology test came back as benign (3 weeks ago). I got a call on Monday from my doctor's nurse saying that they radiologist now believes I should have an excisional biopsy and he does not agree with the pathology results. My doctor has reviewed the pathology and the other tests and is unsure about his recommendation for further testing. Do you have any idea? And why would he come back 3 weeks after the biopsy with this? Here is the pathology report- it doesn't seem to show anything suspicious going on:

FINAL PATHOLOGIC DIAGNOSIS:
Right breast, 2 o'clock, core biopsy:
- Breast parenchyma with intraductal papillomas and fibrocystic changes including usual ductal hyperplasia, cyst formation, fibrosis and apocrine metaplasia.
- No microcalcifications identified.
- No atypical hyperplasia, in situ or invasive carcinoma identified (see comment).

COMMENT:
A smooth muscle myosin heavy chain stain is performed on a section of the right breast biopsy at 2 o'clock, and it is positive in myoepithelial cells surrounding the irregular-appearing ducts, which
is against the presence of invasive carcinoma and consistent with the above diagnosis.

As part of Incyte Diagnostics' Quality Improvement Program, this case was reviewed by another member of our pathology staff.

NRT:KPS:cml:C2NR

MICROSCOPIC EXAMINATION:
Histologic sections of all submitted blocks are examined by light microscopy. These findings, together with the gross examination, support the pathologic diagnosis.

Immunohistochemistry:
An immunohistochemical stain for smooth muscle myosin heavy chain is performed on a section of the right breast biopsy at 2 o'clock, with an appropriately positive control, to evaluate for the
presence of invasive carcinoma. Irregular-appearing ducts are surrounded by smooth muscle myosin heavy chain- immunopositive myoepithelial cells, which is against the presence of invasive carcinoma.

GROSS DESCRIPTION:
Received in a formalin-filled container labeled with the patient's name, date of birth and additionally labeled "right breast" are multiple irregularly shaped fragments of pale
yellow soft tissue measuring 2.6 x 1.0 x 0.4 cm in aggregate. The specimen is entirely submitted between sponges in 2 cassettes (A1, A2).
na:NRT:cml

ADDITIONAL NOTES:
Immunohistochemical and/or in situ hybridization studies were performed on this case with the appropriate positive controls that react as expected. This test was developed and its performance
characteristics determined by Incyte Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not
necessary. This test is used for clinical purposes. It should not be regarded as investigational or for research. Incyte Diagnostics is certified under the Clinical Laboratory Improvement
Amendments of 1988 (CLIA) as qualified to perform high complexity clinical laboratory testing.





Diagnostician: Nicole R Turner MD
Pathologist
Electronically Signed 03/01/2018

Lab and Collection

Surgical Pathology Exam on 2/23/2018

Narrative SPECIMEN(S): A RIGHT BREAST AT 2 O'CLOCK

SPECIMEN SOURCE:
A. RIGHT BREAST AT 2 O'CLOCK

CLINICAL HISTORY:
No preop or clinical information is given on requisition.

FINAL PATHOLOGIC DIAGNOSIS:
Right breast, 2 o'clock, core biopsy:
- Breast parenchyma with intraductal papillomas and fibrocystic changes including usual ductal hyperplasia, cyst formation, fibrosis and apocrine metaplasia.
- No microcalcifications identified.
- No atypical hyperplasia, in situ or invasive carcinoma identified (see comment).

COMMENT:
A smooth muscle myosin heavy chain stain is performed on a section of the right breast biopsy at 2 o'clock, and it is positive in myoepithelial cells surrounding the irregular-appearing ducts, which
is against the presence of invasive carcinoma and consistent with the above diagnosis.

As part of Incyte Diagnostics' Quality Improvement Program, this case was reviewed by another member of our pathology staff.
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Mar 21, 2018 05:29PM - edited Mar 25, 2018 03:25PM by worriedsick1229

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Mar 21, 2018 05:57PM djmammo wrote:

Lboquist

The path report is benign. If the Rad involved really felt strongly they were biopsying a cancer, they would call the path result “discordant” and recommend it be removed. It happens a few times a year in a busy practice.

It takes a week for path to come back sometimes, other times the sample is sent to an outside lab which adds another week or two. The Rad May have been off one of those weeks. Could be any reason for the timing.

Board Certified Diagnostic Radiologist specializing in Breast Imaging helping members understand their health care provider's reports and recommendations.
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Mar 21, 2018 06:01PM djmammo wrote:

Worried

The majority of the words used to describe the nodule are benign adjectives. Since its new it should be biopsied no matter what it looks like.

What was the Birads? That will tell you their thoughts on how sure they are it’s benign or not.

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Mar 21, 2018 06:30PM - edited Mar 25, 2018 03:25PM by worriedsick1229

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Mar 22, 2018 07:50PM - edited Mar 22, 2018 07:51PM by Ozarkgirl

Hello DJMammo!! I find myself here again looking for advice and your expertise. I had a MRI yesterday due to being high risk. In November I had a fairly large radial scar removed from my lower right breast. The MRI showed a 13mm irregular-shaped oblong enhancing mass that demonstrates a mixture of enhancement kinetics including type III washout kinetics in the lower left breast. Could this possibly be another radial scar or should I begin to worry? They classified it has BIRAD 4. I'll follow up with an ultrasound although I haven't scheduled it yet.

Thank you in advance for your advise and knowledge -- you ease so many minds and hearts with your words.

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Mar 23, 2018 01:10PM - edited Mar 23, 2018 04:29PM by Lorick

Hi. I just joined today. I'm hoping you can put this into perspective for me. I had my first mammo early this week (and a sono, which I have had before) The radiology report mentions a Hypoechoic mass that is 6cm from my nipple. It does not have well-delineated margins and is taller rather than wide. The radiologist seemed concerned and said that the mass was "worrisome." He suggested a core needle biopsy.I am trying to get an appointment with a breast health center near me. When I spoke with the breast center they said the radiology report was confusing and they wanted to take more images. I picked up the report and it said that I had a Birad (?) score of 3. I think that was the confusing part. There were multiple Fibroadenomas and cysts and well, which is where the 3 must have come from. Or is it possible that the the 3 is actually true? Thank you

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    Mar 23, 2018 04:14PM ked wrote:

    I'm writing because I've received what looks like a less-informative report from the radiologist, along with a BIRADS category I've not seen mentioned on any of these posts.

    In late February, I had a mammogram and was asked to come back for u/s due to dense breast tissue that could make mammography less diagnostic than usual.

    This week, I had the ultrasound.  The radiologist's report includes only a few sentences.

    _____________________________

    Findings: 

    Sonography of the entire right breast was performed.  At the 2 o'clock position 10 cm from the nipple is a 11.8 x 7.5 x 10.3 mm hypoechoic nodular lesion of indeterminate etiology.  No other focal solid or cystic lesion is identified in the left breast parenchyma.

    Sonography of the entire left breast was performed.  No suggestion of solid or cystic lesion is identified in the left breast parenchyma.


    Impression:

    Indeterminate 11.8 mm hypoechoic lesion 2 o'clock position right breast 10 cm from the nipple.  Follow-up with ultrasound-guided biopsy is recommended.

    BIRADS category 4D: SUSPICIOUS-DENSE

    _____________________________

    Possibly there's more to the report and I haven't received it yet?  When I spoke with the radiologist (on the phone, before receiving any written report), I'd thought he said "hyperechoic", but obviously those words could be easily mistaken on the phone.  In that conversation, he described the mass as oblong and well-defined, not stellate and (I think) not shadowed.  None of that appears in the report I picked up today, though.  Can anyone offer some context here?  Does the 4D category exist?  Is it 4D as in worse-than-4C, or 4 D-as-in-dense?


    I have a biopsy scheduled for the coming week, so maybe there's no point in asking.  Whatever it is, it is regardless of what I'm aware of right now.  But I'm anxious.  I have a grade-schooler and a pre-schooler.  I want to coach rec league teams for them this summer--or at least cheer at all their games.  I'll appreciate any guidance you can offer.


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    Mar 24, 2018 06:01AM djmammo wrote:

    Ozarkgirl

    On MRI Radial Scars can show both benign and/or malignant features so a follow up mammo and US will be necessary to distinguish from other entities.

    Board Certified Diagnostic Radiologist specializing in Breast Imaging helping members understand their health care provider's reports and recommendations.

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