mammogram ultrasound additional mammogram pics

Posted by mswendeu @mswendeu, Dec 5, 2025

On 11/07/25 I went for my annual mammogram and annual ultrasound. I have had for the past few yrs heterogenous dense breast tissue. This yr I went to my appointment had my mammogram done, moved to the ultrasound, sent out to the waiting room. After a few minutes the mammogram tech came out and said the doctor would like a few more pictures of the right breast. I said that doesn't surprise me it's a bit sore lately. I finished my second mammogram of the day and went back out to the waiting room. The mammogram tech came back out and said they want you to schedule a core biopsy as soon as possible. I went to collect my report and cd a week later. Here are the relevant details.
"At the 9 o'clock position, 3 cm from the nipple is a hypoechoic lesion with poorly defined borders measuring 0.4 cm with no increased vascularity."
Minimal ductal dilation.
Impression: Ill-defined Density with associated microcalcifications identified in the upper retroareolar region of the right breast. Recommend stereotactic core biopsy for pathological evaluation.
Final Assessment: ACR BI-RADS 4 - Suspicious

My question has anyone had this and it not be cancer?

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Profile picture for anatomary @anatomary

They (radiologists) might have decided they wanted an ultrasound to rule out a solid mass. Your ultrasound probably evidenced the mass was a fluid-filled cyst and was unlikely to be malignant. Ultrasound can be used (and is possibly used more in other countries since it is less expensive than MRI, etc for social medicine plans) to rule out nature of a mass before proceeding to biopsy. I would imagine you are safe. But for your own piece of mind you might want to ask the radiologist if they will biopsy anyway to be sure there is no cancer since in any diagnostic there is a margin of error- or get a second opinion. You don't need their permission for a second opinion. You could find another radiologist/surgeon in your area, contact them to set up an appointment - and then ask your documents (tests results, notes, and images) are sent to the other office. This can be done over the phone or requested in "my chart" . Tell the first office you don't mean to offend them but given your family and personal history, and unknowns about the family history, you would like more than an ultrasound to be certain. You can also tell them you neglected to ask during the appointment because you were stressed out. If you do not advocate for yourself, no will one...

If you don't want to call, somewhere in the "my chart" menu you can request documents and when you complete the request can you send them to the other office. Probably best to ask the second office if there is someone who you should send your previous (first office) information to - sometimes they have a person who specifically manages incoming documents, sometimes not. Also, ask the second office for fax number to send the documents. I don't quite understand all medical office policies but a fax is considered a secure method for transfer of medical information. Also, you might want to ask persons (start a new topic?) for a recommendation for a radiologist, maybe a breast center, in your area - that way you know someone had good treatment and wouldn't expect otherwise. I hope you can relax and enjoy some quality down time with friends and family over the holiday; the waiting game is terrible and we need to make certain we have some joy in our lives! I wish you luck with your journey and prognosis.

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@anatomary
I have an appointment with my pcp on 12/22 she's the ordering physician. I sent her a message in the portal, will see what she thinks. Thanks for your response. I'm going to enjoy my holidays and let this mull over into the new year.

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