BIRADS 5 Lymph Nodes Involved Large Mass

I keep searching the internet for hope. Unfortunately, the lymph nodes along with all of the other findings in the mammogram and ultrasound are not promising. I asked the physician who performed the biopsy what she thought and she said while malignancy is not diagnosed by visualization of the breast but,rather, of the biopsied tissue under a microscope, this looks malignant to her. I asked her to point out the things that made her think that and she said the fine linear clarifications, the “spiculations” , the lymph node involvement and the size and that it was hypoechoic. I do not know what most of that means but it did not sound good to me . This wait sure is awful!

thanks. We are going to try and do things to keep busy since today is a holiday. At this point, i just want to know and want a plan. I meant to post the results of the Mammogram and US:

Right breast: There is a BB marker overlying upper-outer right
breast and right axillary region at the site of patient's
palpable abnormality. There is a large spiculated mass in the
upper-outer right breast corresponding to patient's palpable
abnormality. In addition, there are fine linear branching
calcifications involving entire right upper-outer breast spanning
at least 8 cm ML x 5.2 cm AP x 8 cm CC. Abnormal right axillary
lymph node corresponds to patient's palpable abnormality with
associated pleomorphic calcifications.

Left breast: No dominant masses or suspicious grouped
calcifications in the left breast.

US Breast Limited Right: August 24, 2018 - Accession#:
12144306PHS
A high frequency transducer was utilized for real time scanning.
Representative static images obtained.

Right upper-outer breast was scanned in the areas of patient's
palpable abnormality and mammographic findings. At 12 -2 o'clock
position, 2 cm from the nipple, there is an irregular hypoechoic
mass with angular margins, associated vascularity and
calcifications, spanning at least 4.6 x 1.1 x 3.8 cm. This
corresponds to patient's palpable abnormality and the spiculated
mass with associated calcifications on today's mammograms.

Evaluation of the right axilla demonstrates at least 2
morphologically abnormal lymph node. The dominant node contains
calcifications, which is evident on real-time imaging.


Assessment: Highly suggestive of malignancy (BIRADS 5) (Overall)
3D DX BILAT: Right breast finding is highly suggestive of
malignancy (BIRADS 5).
The final assessment is based on mammogram and ultrasound.

3D DX BILAT: Left breast is negative (BIRADS 1).

RECOMMENDATION:
Needle biopsy of the right breast - ultrasound guided core biopsy
x 2 sites.
Right upper-outer breast mass corresponding to patient's palpable
abnormality and morphologically abnormal right axillary lymph
node are highly suggestive of malignancy. Ultrasound-guided core
biopsy is recommended for both of these findings.