MRI Results - Have the document = Terminoloy Help Needed

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HopefulonBay
HopefulonBay Member Posts: 22
edited January 2015 in Waiting for Test Results

The MRI report for the test I had on Tues was on my health acct when I checked and I do not understand it. I called my doctors office this morning to ask if I could have my doctor call to explain the results or come in. They said that I could make an appointment for Dec. 30th. My first instinct when I read it was to start googling each word to try to figure it out but I remember reading many times on here that consulting Dr. Google was not smart. I'm not panicking I promise...lol. But would it be appropriate to copy the information on here and have someone tell me in general is it good news...can this all be over. That's all I need to hear and I don't want to wait til 12/30.

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  • HopefulonBay
    HopefulonBay Member Posts: 22
    edited December 2014


    My doctor called! Yeah! She did not have time to explain it all but said basically it is inconclusive and that they sometime write malignancy can not be ruled out to cover themselves in the report. So, I'm guessing it is not a bad report. There are issues that need further evaluation.

    She said she is working on getting a biopsy/duct removal appointment. Since I am a Veteran and going through the VA system they do not do that sort of thing there and she is having to refer me out to a breast surgeon here in Houston. She said I should hear back by noon. I feel so much better that there is progress.

     

  • Moderators
    Moderators Member Posts: 25,912
    edited December 2014

    We're so happy to know you've heard from your doctor, HopefulonBay, and that you feel a little relieved!

    For sure, stay off Dr. Google! However, as you've probably already experienced, our very helpful members here are a great resource to share their experiences with certain test results and help explain some of the difficult terminology. Of course, your doctor's explanations and interpretations of the results should always be considered acccurate, but our members here can definitely help!

    We hope you get all the answers you're seeking soon!

    --The Mods

  • HopefulonBay
    HopefulonBay Member Posts: 22
    edited December 2014

    Thank you so much for helping me.......It is so hard to stay off Dr. Google!!

    I am copying below the entire body of the MRI report.

    Report:

    MRI examination of both breasts was performed with 6 ML of

    intravenous gadovist.

    DynaCAD imaging software was utilized for image analysis and

    evaluation of enhancement kinetics.

    PRIOR MAMMOGRAMS AND ULTRASOUND EXAMS ARE NOT AVAILABLE FOR

    CORRELATION.

    There are innumerable tiny foci of enhancement in both breasts

    which are too small to characterize. In addition, there are

    numerous well-defined nodules in both breasts. Some of these

    nodules demonstrate slight increased T2 signal others are

    isointense to breast parenchyma. On T1 weighted images, these

    nodules are isointense or slightly hypointense to the breast

    parenchyma. The enhancement curve is variable with some nodules

    demonstrate a type III enhancement with washout where as others

    demonstrating type II plateau type enhancement curve. The largest

    nodule on the left measures 8 mm in the upper outer left breast.

    The largest such nodule on the right measures 8 mm in the upper

    outer breast approximately 1 cm from the nipple. These may

    represent fibroadenomas. Correlation with mammograms and

    ultrasound exams is warranted. Numerous hypoechoic nodules have

    been reported on previous ultrasound exams.

    In the left breast, there is a 1.2 Cm long dilated duct in the

    subareolar region extending to the nipple. At the apex of this

    duct, a 2 mm enhancing nodule is present. The walls of the duct

    also demonstrate enhancement.

    No enlarged axillary lymph nodes are seen.

    Impression:

    Dilated duct in the subareolar region of the left breast

    extending to the nipple with wall enhancement. Malignancy cannot

    be excluded.

    Numerous enhancing nodules in both breasts possibly representing

    fibroadenomas. Correlation with breast ultrasound recommended.

     

    Thank you in advance for any help provided :) Love to all and I just want to express how much this site has helped me feel better and stronger going through this. You are indeed a brave, wonderful and caring group of women. I will wish you all the best forever!

  • HopefulonBay
    HopefulonBay Member Posts: 22
    edited January 2015


    I did go see the breast surgeon last tues on New Years Eve. She decided that given all the ultrasounds, mri and other test info that I should have the duct removed and biopsied. I am set up for day surgery on Friday the 9th. I had to register at the hospital and was told I was going to be put to sleep so someone would have to accompany me. That is not a problem as my husband will come. I just thought after reading on here that it was an office procedure not full surgery with anesthesia. Any insight into this would be great. Thanks! Also how long after the biopsy should I expect to hear something. I was really nervous at the appointment and should of recorded it but I just went blank.....I was so relieved to leave....I just kinda bolted. Then in the car coming home I was like....what just happened?

    Also, the VA does not have anyone on staff for breast issues so they have sent me out to Methodist Hospital for the surgery in Houston and a surgeon based in the Medical Center that is no VA also. All things breast related are approved and will be done outside of the VA Hospital system. This is good news for me.

  • bevin
    bevin Member Posts: 1,902
    edited January 2015

    Hello Hopeful, I'm not sure of the type of biospsy they are performing. I had a core biopsy which is not done with any general anesthesia. Perhaps they are doing a duct excisional biopsy? I suspect this is the case given your doctor said they want to remove the duct. I did find this article and it sounds similar to what you described in your note. Hope this helps and keep us posted on your progress.
    http://www.breastcareatlanta.com/services/biopsy/duct_excision.html

  • HopefulonBay
    HopefulonBay Member Posts: 22
    edited January 2015


    Thanks Bevin, that site was helpful and gave a great description of what it was like today. The breast surgeon says my pathology report should be ready on Tues. and they will call me. Fingers crossed! They did take out the duct and some tissue. Since I was in recovery after they relayed that to my husband and friend who both were so kind and supportive. I really feel like regardless of the outcome I'm in good hands.

     

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