May 5, 2022 06:49PM
Hello- I am a 46 year old female who went for a call back ultrasound today. I have dense breasts and have had two biopsies in the past (with clips); all previous findings have been benign. This is a new finding (my mammogram almost exactly a year ago was clear with no need for a call back). I am going back for a biopsy on May 12th. I did look back at my older biopsies to see if similar language was used in my ultrasound findings and some of it was consistent "round" or "oval" "partially circumscribed margins" "hyperechoic", etc. However, this is the first time I've seen "partially indistinct" mentioned in an ultrasound report which is making me more nervous than the previous times. Any additional insights would be greatly appreciated! My biopsy is not until May 12th which feels like an eternity away now.
Ordering ProviderResult Date
May 5, 2022
Narrative & Impression
Questioned focal left asymmetry on recent screening mammogram.
Digital Mammography and tomosynthesis were used to obtain images. Computer Aided Detection was used to aid in interpretation. Real-time ultrasound was performed using a high-frequency linear array transducer.
Comparison is made with relevant prior imaging in PACS.
Density: The breast tissue is heterogeneously dense, which may obscure small masses
An oval equal density mass with partially circumscribed and partially indistinct margins is confirmed in the upper outer breast at posterior depth.
Targeted ultrasound examination was performed. In the 2:00 position 8 cm from the nipple, there is a 0.6 x 0.5 x 0.5 cm round hypoechoic mass with partially circumscribed and partially indistinct margins. Ultrasound-guided biopsy is recommended.
Left Breast: 0.6 cm left breast 2:00 position mass.
Left Assessment: BI-RADS 4 Suspicious Finding.
Left Recommendation: Left Ultrasound Biopsy
Left Recommendations Due Date: To Be Scheduled
Results were discussed with the patient at the time of the study. A biopsy is recommended and will be scheduled.
OVERALL Assessment: BI-RADS 4 Suspicious Finding.
The recommendation above has been entered into a reminder system to monitor and facilitate patient compliance.
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