Worried About My Diagnostic US Report
Hi,
I'm 46 and received a callback for asymmetry in left breast, BI-RADS 0. This was with a 3D Mammogram and compared to my previous four 3D mammograms. I am getting married in 8 days and was expecting/hoping to go get the diagnostic done and move on with my life and this final week of pre-wedding anxiety.
I received my report this morning with a BI-RADS of 4B. Yesterday, the radiologist told me it was BI-RADS 3. So, that is a change. I was wondering if anyone can take a look at this report and let me know how worried I should be. Thanks in advance!
Impression
Several well-circumscribed anechoic and hypoechoic lesions of the left breast are indeterminate. Options of six-month follow-up and biopsy were discussed with the patient.
BI-RADS CATEGORY: 4B - Suspicious.
RECOMMENDED FOLLOW-UP: Options of biopsy and six-month follow-up were discussed with the patient. The patient was interested in biopsy. The patient indicated that the biopsy would be performed in Boise, ID. I expressed to the patient that 1 to 3 lesions
could be sampled, depending upon the preference of the radiologist performing the biopsy.
Narrative
BI BREAST ULTRASOUND LEFT, BI DIAGNOSTIC LEFT TOMO
HISTORY: Abnormal breast finding
COMPARISON: August 5, 2020.
TECHNIQUE: Left-sided Spot compression cc view. Left CC, exaggerated left CC and ML views obtained. Tomo utilized.
FINDINGS:
MAMMOGRAPHY: There are persistent partially circumscribed asymmetries within the outer left breast, only noted on the cc view.
ULTRASOUND: Within the left breast at the 12:30 position, 4 cm from the nipple there is a hypoechoic well-circumscribed lesion measuring 6 mm. This could represent a fibroadenoma or a complicated cyst.
Within the left breast at 1:00 position, 5 cm from the nipple there is a simple appearing cyst measuring 2.2 x 0.7 x 1.7 cm.
Within the left breast at 3:00 position, 7 cm from the nipple there is a 9 x 5 x 9 mm structure compatible with complex versus complicated cyst.
Left breast 2:00 is, for centimeter from the nipple there is a wider than tall simple appearing cyst.
Left breast 2:00 position, 4 cm from the nipple there is a hypoechoic lesion with increased through transmission with small internal hyperechoic focus. This may represent an intramammary lymph node. Complicated and complex cysts are other differential
considerations.
Normal left axilla.
Comments
-
Hi. The radiologist told you a birads 3 meaning you have an option of waiting 6 months to see if there is any change, or getting them biopsied. He had to put the 4 on the report so that your insurance will cover you. It is not that concerning that you would have to do it within the 8 days of your wedding. What a great distraction to have. Congratulations! I would try and enjoy yourself and either schedule the biopsy's after, or you do have the option of waiting 6 months to check again. Only you can decide which. Best wishes to you.
-
Thank you!
We did talk the option of biopsy or wait 6 months. I would definitely not be proceeding with anything until after the wedding/honeymoon.
That makes sense about the insurance. I guess I was just shocked to see 4b.
-
Hi Stash, just a note to say I know what it's like to be blindsided with a scary medical situation right when you're supposed to be planning a wedding, and I feel for you. Being able to wait 6 months is fantastic! If they were really worried about it they wouldn't allow that. Set it aside and enjoy this special time! And congratulations!
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