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.