Biopsy on Friday

worried about the wording on this report : However, there is residual cluster microcalcifications in the left breast. Magnified views do not show typically benign features

IMPRESSION:

CATEGORY 4: Suspicious*

Cluster of microcalcifications on the left which are considered suspicious.

*ACR BI-RADS Atlas Fifth Edition, 2013

RECOMMENDATION:

Left stereotactic biopsy. Bilateral diagnostic mammogram in 6 months recommended for other areas of asymmetry.

The results and recommendations were discussed with the patient. Following our discussion, patient was scheduled for biopsy. Patient will be mailed a letter with the results and composition.

END OF IMPRESSION:

INDICATION: Bilateral breast diffuse asymmetries. Cluster microcalcifications seen on the left on diagnostic study

TECHNIQUE: Limited bilateral breast ultrasound and bilateral breast spot tomographic compression views and lateral view as indicated based upon abnormality on screening mammogram. Additional magnification views were performed on the left. Axilla not included. Permanently recorded images were obtained and stored. As a part of the interpretive process, the mammographic images were analyzed with a computer-aided detection system.

BREAST COMPOSITION: Category b. There are scattered areas of fibroglandular density.

COMPARISON: Baseline

FINDINGS:

Mammography: Screening mammogram suggested focal areas of asymmetry in both breasts. With spot compression view x, they all appear improved. However, there is residual cluster microcalcifications in the left breast. Magnified views do not show typically benign features. They must be considered a suspicious abnormality and stereotactic biopsy recommended.

Computer aided detection was utilized in the interpretation to help guide a recommendation in this exam.

This notice contains the results of your recent mammogram, including information about breast density. If your mammogram shows that your breast tissue is dense, you should know that dense breast tissue is a common finding and is not abnormal. Statistics show many women could have dense or highly dense breasts. Dense breast tissue can make it harder to find cancer on a mammogram and may be associated with an increased risk of cancer. This information about the result of your mammogram is given to you to raise your awareness and to inform your conversations with your physician. Together, you can decide which screening options are right for you, based on your mammogram results, individual risk factors or physical examination. A report of your results was sent to your physician.

Ultrasound: Real time sonography did not reveal any mass, either cystic or solid.