BIRADS 4-from BIRADS 2

Hi everyone, well I have had lots of lumps and bumps along the way. I started having comprehensive mammos/US's at 28...and other than lots of painful cysts, nothing major. I am 40 now, and last year my right breast decided to act up, swelled, and just looked different. Had my first call back mammo, they found "something" in the chest wall. Turned out to be a septated cyst with lots of debris and such. I moved on, same old thing. But then I started having pain in my right breast and some discharge, my dr had me back in last mth, mammo showed some changes again, and I went in for the MRI yesterday. Basically my normal breast issues have started to take a different form it seems, and usually I just go with it, but now I am admittedly worried. Below are my findings, I am waiting on the scheduling call for the biopsy, but from the research I was able to do, the results sound strange. Anyone had these types of results? TIA~Allison

MRI BREAST W/ + W/O CONTRAST BILATERAL:

HISTORY: pt w/ dense breasts, cyst, nipple discharge and chronic pain. Synapse.

FINDINGS:

Extramammary structures: The visualized extramammary structures are without gross abnormality.

Lymph nodes: There is no axillary or internal mammary lymphadenopathy.

Breast Density: Heterogeneous fibroglandular tissue.

Background enhancement: Moderate to severe. This diminishes the sensitivity of MRI.

RIGHT BREAST:
-Within the retroareolar right breast just posterior to the nipple, there is a 6 mm enhancing
mass with rapid washout kinetics (subtraction page 62).
-At 12:00, 3 cm from the nipple, there is a 4 mm enhancing focus with slow persistent enhancement
kinetics (axial subtraction page 68).

Multiple scattered cysts are seen.

LEFT BREAST:
There is no suspicious mass or non-mass enhancement distinguishable from the background
parenchymal enhancement.

Multiple scattered cysts are seen.

BI-RADS CATEGORY 4:

SUSPICIOUS ABNORMALITY-BIOPSY SHOULD BE CONSIDERED