Developing assymetry

Thank thank you very much DJmammo, I can see that you have been on this site for years helping people. It was last year right after my routine mammogram that I looked at the views myself, and felt that there was a small area with some feelers coming off of it. I brought it to the imaging Center and ask them to look at it again but the receptionist basically just handed it back to me and said the radiologist said there are no changes in your report from last year, and did not compare it carefully as I requested. Now the same area has come into question this year. I have very fibroglandular and dense breasts(I am 56) . So it says scattered fibroglandular densities and developing asymmetric density needing further evaluation. I am also very surprised that they did not mention this spiculation however after last year's experience I feel like they are not looking very closely at all, or possibly just not reporting properly, ? The starburst appearance is very clearly visible. But I concede I am not a radiologist but I know that they look for fine lines coming off of the area in question and they are very easy to see and many of them, like at least 15...Also when the tech compressed for routine, she did not compress nearly as tight as they usually do. as many other patients, I am just nervous about waiting, I know that October 11th is not going to change whether this spreads or not, since it has already been there for a year if it is something, and I also know that cancer grows over a very long period Of time and that's why a developing asymmetry is more of a concern because it's not just one view that looks different it says it was compared over the last nine years last comparison this particular radiologist used with since 2010. I feel like this particular radiologist in the group has been very much more careful because he says that it was reviewed and compared all the way back to 2010. Others have compared only to one or two years, I feel like the comparisons were lacking, I have my records on radnet so I can compare myself back to 2010 and see the area exactly and how it has evolved. it now looks like a bright starburst but it is good that I believe it is just under 1 cm. I also have a CD of the views I always ask for a CD when I leave so I have my records. I feel like since the area of concern has gradually changed is much less likely that this is just an overlay asymmetry. I was called back in 2008 for an area in the lower part of the same breast which they said sometimes when the breast is compressed it makes it look like a starburst, because tissues overlay, but since you can see gradual changes leading up to this it seems less likely that that is the case, am I right? My twin sister was born with a serious deformity and we have developed a very proactive style of learning about what we are dealing with and along with that receiving sometimes bad news. I guess I just want to be prepared for the October 11th appointment, of course I keep hearing that everyone always has to go back for compression spots and it's no big deal but I guess I feel like I just need validation that this is different.maybe one reason why I feel like I need that validation is because of my experience last year when I asked them to take a second look and they really just brush it off completely. I'm not the type to ever go back and throw it in their face or try to claim a liability, I just want excellent diagnostics from here on out. I don't know whether or not I should even mention the fact that I was concerned last year because I'm sure no one will remember it was a quick step in the door to the receptionist and hand the picture back to me in a matter of 3 minutes. as I mentioned I a nanny and only mother figure for two girls who lost their mother to breast cancer very young, and I just want this cleared up so I know what I'm dealing with. I know you can't clear it up but I just wondered what you think, if in fact I do see speculations even though they were not mentioned on the report and it is developing, do you feel that this would be a highly suspicious situation? If you could not answer that I totally understand. thank you for the good advice I'm going to talk to my primary care today to make sure that I get the ultrasound testing because like I said in 2008 they did not do any ultrasound testing because the compression spot looks fine and that was in a different area so I'm not too concerned I just want to be sure that I do get the ultrasound thank you for the good advice! And thank you for the many many people here you have helped get through a time of anxiety and uncertainty. Incidentally I also have been dealing with abdominal upset beginning with vomiting and diarrhea for the last 3 weeks, I am off center in my head and have poor balance so it's just making me feel sick I know it is probably not at all connected but it is hard feeling so sick and having this uncertainty. since the area of concern is so small, I'm not too concerned that these symptoms are related. When I use the measuring tool on the CD it looks to me to be about 8 mm but the spiculations are very large, spiculation length look to be about 12 mm or more, and they are broader than they were before. I did not measure them but they are larger than the density itself. Sorry if this is long and TMI , I know you are very busy, it is just nice to know that someone really cares so much to take the time to help so many people...Thanks again,

Annie