Breast Implants BI-RADS4A + 4B

I should add the reason I am posting in the High Risk category is that I was deemed High Risk.  The breast MRI report mentioned two suspicious abnormalities so I am consulting two breast surgeons to discuss my biopsy options.  

Good morning Jill, and thank you so much for your response!!! I have been checking every day to see if I've had a response.  So much has happened since my initial post.  I have spoken to a genetic counselor and I have my blood sent off for the BRCA test, I do not have the results yet, that was done 8/23.  Appt. w/Breast Surgeon #1 did not go well, I did not care for her approach, she made me feel very put off by all of the questions we asked.  She did write the 1st script for my MRI guided core needle biopsy.  It was denied by United Healthcare. She never appealed it.  I went to Breast Surgeon #2 the next day.  He attempted an U/S guided core needle biopsy but due to the placement of both masses (1p and 7p), they are impossible to get to via U/S guided.  Script #2 was written for MRI biopsy, it was denied again and the appeal process was started. I've since chosen Breast Surgeon #2, but have also seen my General Surgeon who helped in the appeal process.  I found out last Friday that it was approved via peer-to-peer review.  Was immediately sched. this Monday 9/10.  They were able to get to the 7p mass and put a titanium clip in, but they cold not get to the 1p mass so I am sched. for open biopsy next week, I meet w/my BS on 9/18.  I also have a brain tumor, most likely a prolactinoma/microadenoma in my pituitary gland, that is producing and extremely high level of prolactin.  It has been making me so sick.  I do not see the Endocrinologist until tmrw 9/13, and the Neurosurgeon until 9/19.  Also, having bladder biopsy on 9/21.  My CT Scan of abdomen showed no abnormality, however, I have gross hematuria.  Uterine biopsy/Pap all normal, had an endometrial polyp, had a D&C sched. but went to sono yesterday and apparently I passed it w/my cycle.  The had put me on medication to help facilitate that.  This is all so confusing and even trying to explain it/type it, doesn't make sense to me, but I appreciate your response so much.  Although I have an amazing support system, I feel so overwhelming alone during this process of waiting.  I'm diggin' deep to maintain a sense of normalcy for my family, but as it keeps dragging on, it seems to be getting the best of me. 

And I just have to add that your profile picture is so comforting...we have a Beagle/Border Collie mix named Sadie...the pic looks just like her.  She is attached at my hip as of late, really do wonder if dogs can sense when you're sick.  I believe there are no coincidences in life so the fact that you responded in particular is amazing! Thank you!

Jill, your response couldn't have come at a better time.  Just got a phone call from my General Surgeon's nurse and she said the biopsy/pathology for the 7 o'clock came back benign.  However, there is a question as to whether or not the MRI guided core needle biopsy actually got the into the mass.  It is very deep so they had to put a titanium clip in me just to be able to locate it.  They stuck the needle in at least 6x's that I remember as I was pretty out of it, I had taken Xanax before the procedure.  A nurse was kind enough to rub my back 6x's while the radiologist stuck the needle in each time.  I am so overwhelmed right now.  I am questioning whether or not they actually hit the mass itself or just the surrounding tissue.  They couldn't get to the other one at 1 o'clock so that has to come out excisionally/open biopsy.  I am going to demand that my BS take the one at 7 o'clock out as well.  Is this reasonable of me?????? The 7'oclock is an irregular, spiculated, hypoechoic mass w/a BIRAD 4A, the 1 o'clock is 4B.  I feel worse than I did before the procedure and have such an uneasy feeling...I just want them out of my breast so I will never have to worry about them again.  Last year 2 masses in the ducts of my left breast were removed w/a BIRAD 2, and now allof the issues I'm having are in the right breast.  I am patiently waiting for the BRCA and if it's positive, I will opt for a mastectomy.  

Hi Jill, I just rec'd the call from the hospital PA and she read the radiology report to me and will be faxing it to my husband's ofc this afternoon.  She said the mass at 7o'clock is called a 'Radial Scar' and it is presenting itself as atypical, and obviously abnormal.  She said it has to come out to be sent off to pathology.  They consider most of these 'benign', however, there could be a small chance it is cancer.  It was the one w/the BIRAD 4a.  I'm even more confused/concerned than I was before.  All I do know is that I want them both out of my breast as soon as possible.  Ugh.