WENT FOR MAMMOGRAM.AREA OF CONCERN IN LEFT BREAST

So it looks like your instincts were correct, djmammo. I got the results from my MRI from 2 weeks ago (finally) and there was an "area of enhancement" so the breast surgeon I was referred to has decided to go ahead and surgically remove the radial scar/CSL. (why does this not surprise me.) He says the area is about 5 mm. I haven't seen the MRI report so I can't post it. I asked the breast surgeon to forward the report to my OB/Gyn doctor who referred me to him.

I guess I'll know more about what I'm dealing with for sure after they remove it.

He said that the area of enhancement could also correlate with the condition still being benign, I sure hope he's right. Thanks for your insights on this matter.

p.s. - I wasn't sure what questions to ask but I did ask if anything abnormal was seen in the right breast, the answer was "no." I also asked if any lymph node were seen as enlarged, the answer to that question was "no." I asked about possible courses of treatments if dcis is found but then I realized that the B.S. doesn't make those decisions usually. Maybe I'm getting ahead of myself here....

jenndenino

MRI REPORT AS FOLLOWS:

DATE OF EXAM: May 17 2018

Reason for exam:

MRB 7004 - MR BREAST w/wo IV CONT BILATERAL B 5568814

RESULT: MR BREAST w/wo IV CONT BILATERAL BILATERAL: 5/17/2018 3:27 PM

Accession#(s) 5568814

Reason for examination: 58 year old patient status post ultrasound-guided biopsy performed at an outside institution of the left breast 12:00 location and dated April 4, 2018 with pathology diagnosis of sclerosing lesion.

Family history of breast carcinoma, (maternal cousin). Family history of colon (paternal cousin), kidney (paternal aunt) and uterine carcinoma (sister).

Review is made of submitted mammogram and ultrasound examination from March 29, 2018 as well as imaging from ultrasound guided core biopsy dated April 4, 2018. Review is also made of accompanying reports.

Technique:

A 3 Tesla and dedicated breast coils were utilized. Noncontrast T1 and T2-weighted imaging as well as STIR imaging was performed. Following the intravenous administration of 12 cc of Dotarem to the left hand vein, sequential axial T1 weighted fat-suppressed imaging was performed. High-resolution three minute axial and sagittal images were also performed. Postprocessing fat suppressed imaging and 3D MIP images were acquired. CAD stream was utilized in interpretation of this study.

FINDINGS:

Breast Density Heterogeneous

Breast enhancement: Minimal

Right breast:

No abnormal enhancement is identified.

Page 2:

There is a 5.7 mm nodule identified in the right upper outer breast region approximately 11:00 axis, posterior depth demonstrating high signal on T2 weighted imaging and central fat on precontrast T1 weighted signal on T2 weighted imaging and central fat on precontrast T1-weighted imaging. This nodule is most suggestive of a benign apearing IM lymph node.

Cystic duct ectasia is identified.

Left beast:

At the 12:00 axis, 3 cm from the nipple there is a spiculated 6.7 mm area of enhancement below the threshold for kinetics. This finding was probably corresponds with mammographic area of distortion based on location and morphology. Please note however that on review of tomographic imaging performed at an outside institution dated March 29, 2018 region of distortion measures approximately 2.4 cm in greatest diameter.

There is no adenopathy.

Visualized areas of anterior lung fields demonstrate dependent atelectasis.

Visualized portions of the anterior liver parenchyma is unremarkable.

IMPRESSION:

Patient is status post ultrasound guided biopsy of poorly circumscribed nodule in the left breast 12:00 axis approximately 3 to 4 cm from the nipple with reported diagnosis of sclerosing lesion. On review of tomographic imaging from outside institution this region however measures 2.4 cm in greatest diameter.

Surgical consultation is recommended.

Localization for excision may be performed under stereotactic guided or ultrasound guided.

Update, had excisional biopsy last Tuesday, June 12th to remove the radial scar. Just heard from my doctor at 5:30 pm tonight. No cancer was found in the radial scar tissue removed as per the pathology report. Thank Goodness, I really feel I dodged a bullet. Thanks for all your support everyone who responded and special thanks to djmammo for all his good advice.

Follow up appointment with my breast surgeon is on Wednesday morning.

Love and hugs to all,

jenndenino

xoxoxo

Thank you, Meg101.

Hi all,

Had my 6 month follow up mammogram a few weeks ago in January on the breast that had the radial scar removed. Doctor said that everything looked fine and to come back in July for another follow up mammogram and sonogram on both breasts.

Best regards,

jenndenino