Developing Asymmetric Density Concern on the Mammogram

Good morning ladies,

I had my screening mammogram with the report below. It was compared to 2017 and 2020 mammograms. I am 57 yo, my sister was diagnosed with breast cancer at 41 and passed away 25 years later from it.

I am going back for ultrasound. If further tests are required:

1. can I request MRI first

2. can I request to observe it to 6 months before biopsy, if biopsy is suggested.

Impression: Assessment incomplete. There is a small developing asymmetric density in the upper-outer quadrant of the right breast which should be further characterized with ultrasound.

Report: Breast density is heterogeneous. In the upper-outer quadrant of the right breast in approximately the 11 o'clock position at posterior depth about 8 cm from the nipple there is a developing circumscribed round 0.4 cm asymmetric density. This is probably superficially located close to the skin. This is centered on craniocaudal tomosynthesis image 55/59 and mediolateral oblique tomosynthesis image 48/59.

Thank you in advance for your recommendations

I have never been diagnosed with breast cancer and I have dense breasts. My asymmetries which were either fibroids or cysts; I have had two biopsies and one cyst aspiration (yesterday!) and my masses have ultimately always been described as round or oval and circumscribed. I don't know if they provided you with a BIRADS score, but I'm guessing it's either a 0 or a 4 which is what mine have always been in the past. I hope this helps. But, given your family history (I'm so sorry about your sister), I would advocate for a baseline MRI which is advice I've been given here, as well. Best of luck and keep us posted!

So glad that it was just a cyst! That's great news!!