Trying to understand this
Had a MRI done last Friday. 4 years ago I had 3 breast biopsies at once in both breasts that showed fibroadenomas. My sister had breast cancer over 10 years ago, now she has it again and it is metastatic in her lung. I'm not sure what all this means. I got all of my stuff from the hospital that did my biopsies and sent to this place that did my MRI. Its been 2 days now since they received them and I haven't heard a word yet. I'm not sure what all this means.
FINDINGS: After administration of intravenous gadolinium contrast there is moderate physiologic background parenchymal enhancement throughout the breasts. There is a 15 x 11 x 16 mm rapidly enhancing mass in the upper outer left breast at middle depth. The mass demonstrates progressive enhancement kinetics on delayed sequences. There is a 12 x 10 x 10 mm moderately enhancing mass with progressive enhancement kinetics in the anterior medial right breast around the 3:30 to 4:00 position. There is focal metallic susceptibility adjacent to the mass that may represent a marker from a previous core needle biopsy. In the medial right breast at middle depth there is a 16 x 6 mm minimally enhancing mass. The morphology and enhancement pattern of this lesion favor a benign etiology such as fibroadenoma. There are no grossly enlarged or abnormally shaped axillary lymph nodes. No internal mammary nodes are detected. The STIR sequence demonstrates several small cysts scattered in both breasts measuring up to 7 mm in size. IMPRESSION: BI-RADS category 4, Suspicious. 1. There is a rapidly enhancing mass in the lateral left breast. In the absence of prior imaging to confirm stability, this is considered suspicious. Recommend correlation with old mammograms and any prior breast ultrasound examinations. If long-term stability of the mass can be confirmed then further imaging or intervention may be unnecessary. Otherwise core needle biopsy is recommended to rule out malignancy. 2. A moderately enhancing mass in the medial right breast appears to have been biopsied previously based on the presence of a metallic marker adjacent to the lesion. This is presumed to represent a benign lesion such as a fibroadenoma. Correlation with prior imaging and pathology records is recommended for confirmation.
Comments
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Hi there Leanie and I'm sorry about all the stress you've been experiencing. I think what's of concern here is the "rapidly enhancing mass" in your left breast; they can't tell yet if it's been there for awhile or is new. Hopefully a good radiologist will be able to compare all of the prior scans and tell you that everything is ok real soon.
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Give them at least a week. Imaging centers get many requests similar to yours on a daily basis. They usually have the doc who read the MRI do the comparisons and if that doc off that week it will take somewhat longer.
Get a set of all your imaging for yourself to keep at home. Take them with you when you have future imaging done. They can copy the discs while you are being scanned. This saves time and energy on everyones part. I recommended this to all my patients and I do this for my family and myself.
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Good advice djmammo. Not only keep your imaging, but ask for a copy of all your reports, such as
for blood work, specialists reports, and operation records.
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