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|Forum||Questions||Ask a Question|
Diagnostic mammogram's and other breast imaging questions.
|Asked||Publicly Submitted Question|
|4/6/2012||How can a mammogram and ultrasound come back as need additional imaging evaluation. no radio graphic or sonographic findings confirming the area of palpable concern. Suggest MRI as the most sensitive modality to assess the ductless structures. Left BI-RADS CATEGORY 2 Benign Finding To MRI conclusion 10 position left breast focal enhancement benign process such as small inflammatory cyst or fibroadenoma. it could be biopsied percutaneously or followed up at six month Bi-rads 0 Right breast symptomatic area right breast two adjacent foci of abnormal enhancement. MR criteria but problematic, since they occur in an area of palpable concern in a patient with nipple discharge. Advise targeted ultrasound Corresponding findings are identities, the lesions could be biopsied under sonographic guidance if not the area of palpable concern should be biopsied BI-RADS 4 Suspicious abnormality biopsy should be considered. My question after this is I had another ultrasound and it did not show anything so the Dr said not to worry follow up in 6month if its not to worry why the Bi-rads go from 0 to a 4 and my Dr wants a biopsy and the radiology person said the same?|
|Replied||JHU's Breast Center Reply|
|4/6/2012||birad 0 means they don't have enough information to provide a score. a score of 4 means a biopsy is needed due to seeing something that may be worrisome. there are situations commonly due to density of breast tissue, that the mammogram and ultrasound don't show what is going on inside. in such cases MRI is usually done. when spotted on MRI, they either do the biopsy in MRI or they repeat the ultrasound now knowing exactly where to look (like knowing where to find the needle in the haystack). hope this information helps.|
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