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katrina123 (@katrina123)

BI-RADS 3 Question

Breast Cancer | Last Active: Apr 30 6:34pm | Replies (16)

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Prior tests do not show this mass (last mammo before this one was 6/2021) – only calcifications which were scattered. I’m guessing they’re gone? Can anyone shed light on these findings- particularly the posterior acoustic enhancement Dr. is doing an u/s in 6 months in lieu of biopsy because I have cosmetic implants and we are avoiding any chance of rupture. Thank you in advance.

TOMOSYNTHESIS: Current study was also evaluated with a Computer Aided Detection (CAD) system.
Tomosynthesis was utilized for interpretation.

ULTRASOUND: Color flow and real-time ultrasound of the right breast 11 oclock, and axilla
regions and color flow and real-time ultrasound of the left axilla were performed. Gray scale
images of the real-time examination were reviewed.

BREAST TISSUE DENSITY: There are scattered areas of fibroglandular density.

FINDINGS: No mammographic correlate for the reported area of pain left axilla. There is no
mass or cyst seen on mammography or sonography. Normal appearing lymph nodes are seen in both
Bilateral breast implants are stable and intact.
There is a 1.4 cm equal density asymmetry with an indistinct margin in the right breast at 11
oclock middle depth. Finding is best noted on tomographic MLO slice 15. Ultrasound
demonstrates a 1.5 cm x 1.1 cm x 0.4 cm oval mass with a circumscribed margin at 11 oclock
middle depth 8 cm from the nipple. This oval mass displays a hyperechoic rim and posterior
acoustic enhancement. This correlates with mammography findings. Color flow imaging
demonstrates that there is no vascularity present.
No other significant masses, calcifications, or other findings are seen in either breast on the
mammogram or bilateral ultrasound.

The 1.5 cm x 1.1 cm x 0.4 cm oval mass in the right breast most likely is a fibroadenoma and is
probably benign. A follow-up ultrasound in 6 months is recommended.

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Replies to "Hello, Prior tests do not show this mass (last mammo before this one was 6/2021) -..."

Hi @danielle0313, welcome to Mayo Clinic Connect. You'll notice that I moved your 2 messages to this existing discussion about BI-RADS 3.
– BI-RADS 3 Question https://connect.mayoclinic.org/discussion/birads-3-question/

I did this so that you can easily connect with fellow members @katrina123 @trixie1313 @annac3 and @icya2282 who are talking about Breast Imaging Reporting and Data System or BI-RADS assessment categorization. This system sorts mammogram results into categories numbered 0 through 6. With these categories, doctors can describe what they find on a mammogram using the same words and terms. This makes communicating about the test results and following up after the tests easier.

I found this definition of acoustic enhancement
"Acoustic enhancement also called posterior enhancement or enhanced through transmission, refers to the increased echoes deep to structures that transmit sound exceptionally well." Read more https://radiopaedia.org/articles/acoustic-enhancement

Danielle, when is your follow-up appointment to discuss with your doctor?

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