Can Someone help me understand this!?

Great914
Great914 Member Posts: 15
edited March 2018 in Waiting for Test Results

Hi, I am new to this sight. I was recently called back in for a diagnostic mammogram and ultrasound. 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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