Help interpreting ultrasound results

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BootsieLoff
BootsieLoff Member Posts: 4
edited December 2021 in Not Diagnosed But Worried

I'm so confused and scared

Mass vs lesion?
can anyone help me understand this better?

“

At 3:30 right breast 4cm from nipple is a circumscribed, oval shaped hypoechoic mass measuring 9 x 4 x 7 mm

At 4:00 right breast 9 cm from nipple is a Lobulated hypoechoic mass measuring 9 x 5 x 8 mm

No associated distortion or overlying skin thickening

Ultrasound guided core needle biopsy recommended"


I'd post a picture of the report but I can't figure out how to insert the screenshot

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  • Aram
    Aram Member Posts: 417
    edited December 2021

    Hi BootsieLoff, I am sorry you are scared. It is a very normal feeling. Do you have something called BIRADS in your report?

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  • BootsieLoff
    BootsieLoff Member Posts: 4
    edited December 2021

    I was given a BIRAD 4

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  • SmoothOperator78
    SmoothOperator78 Member Posts: 85
    edited December 2021

    Hypoechoic means that it shows up on the ultrasound as more solid than the surrounding tissue, which is why it is being called a mass.

    Oval and circumscribed means it has a distinct border and is usually a description more in line with a benign finding. Only a biopsy knows for certain.

    The description of the other is lobulated, which means that it is a little knobby like a child’s drawing of a cloud but isn’t circumscribed with a clear border. This finding probably seemed a little more suspicious than the other and the radiologist wanted biopsies to rule out cancer

    The skin thickening and ultrasound distortion are other things a radiologist would look for in cancer and didn’t see here, which are more positive signs.

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  • Aram
    Aram Member Posts: 417
    edited December 2021

    BootsieLoff, from your BIRAD, you get will better understanding of your risk. Here is the description from wiki:

    BI-RADS Assessment Categories are:[2]

    • 0: Incomplete
    • 1: Negative
    • 2: Benign
    • 3: Probably benign
    • 4: Suspicious
    • 5: Highly suggestive of malignancy
    • 6: Known biopsy – proven malignancy

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  • BootsieLoff
    BootsieLoff Member Posts: 4
    edited December 2021

    they gave me a BIRAD 4

    little ambiguous


    but now they aren’t going to let me do the colonoscopy and polyp check I had scheduled until after the pathology results

    Feels like a gut punch

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  • AliceBastable
    AliceBastable Member Posts: 3,461
    edited December 2021

    Birads 4 is also used so insurance will cover it. They won't pay for anything lower. Most Birads 4 come back benign.

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