Ultrasound Confusion: Radiologist Report vs Verbal Info Received

I accidently deleted my other posts :-(. So sorry I'm a newbie trying to get use to this forum.

Help! I was A-Okay until my doctor called me immediately after my U/S to confirm I scheduled a biopsy (she didn't call after the mammogram). When she called she started mentioning some shadowing was seen on my U/S, etc. (although that's not noted on my U/S report). I am thinking it's merely a fibroadenoma (as the radiologist verbally told me after the U/S but once again didn't note on the report) but thought I'd share for feedback to calm my nerves.

Backstory: OB/GYN wrote an order for a baseline Mammogram 06/2018 to be performed 09/2018. I ended up scheduling for 11/2018.

11/14/18 Mammogram: Abnormal

MAMMOGRAM FINDINGS: The breast parenchyma is heterogeneously dense, which may obscure small masses.

Right breast findings: No suspicious masses, calcifications, or areas of architectural distortion.

Left breast findings: There is a well-circumscribed round mass measuring 17 mm in the upper outer quadrant 3 cm from the nipple, anterior depth. This is most likely a benign cyst, but warrants complete sonographic evaluation on a baseline exam.

IMPRESSION:
Right breast: Negative. No evidence of malignancy. BI-RADS 1.

Left breast: Well-circumscribed 17 mm round mass warrants complete evaluation with ultrasound on a baseline exam. Incomplete. BI-RADS 0.

11/15/18 - Received call to schedule U/S

11/19/18 Ultrasound: Abnormal

FINDINGS: There is a hypoechoic mass with a lucent center in the left breast 2 o'clock position, 3 cm from the nipple, which corresponds to the mammographic finding. This measures 1.9 x 1.0 x 2.0 cm in maximum dimension. Walls are smooth. No other solid or cystic masses are seen.

IMPRESSION: 1. Hypoechoic mass in the left breast 2 o'clock position for which ultrasound-guided biopsy will be scheduled.

Recommendation 1: Biopsy is recommended of the left breast.

ACR BI-RADS Category Code 4 - Suspicious

U/S guided biopsy schedule for 11/21/18 & my OB/GYN has scheduled a Mammo Post Bx Diagnostic exam of the Left Breast.

Oh also, there is a website -- http://www.radiologyassistant.nl/en/p53b4082c92130... -- that has the Radiology and Mammography vocabulary listed.

When I was waiting for my final results, it helped me see that some of the words listed in my reports were highly suggestive of cancer (i.e. "spiculated") and to prepare myself.

I see that on your report it's listed as "smooth walls" and "round". From what I see on that website it seems that maybe that is in your favor. It looks like Fibroadema is listed under a BI-RADS 4. Again my fingers are crossed for you!

Thanks Spoonie. I definitely agree with my report has positive words on it. That’s why it was easy to schedule things and I felt relaxed (and would have remained relaxed if it wasn’t from my physician sounding rather anxious). I’m going to work on remaining positive :-). Thanks!