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Breast Imaging
Diagnostic mammogram's and other breast imaging questions.
2,830 Ask a Question

AskedPublicly Submitted Question
5/13/2012I was called back for my most recent mammogram because of nodular density, right medial breast. Spot compression views were performed in cc and MLO projections and area of nodularity persisted. Sonography of right breast was performed from 2:00 to 6:00 location. There were no cystic or solid lesions identified. There was no significant sound absorption or acoustical shadowing detected. Radiologist's report concluded saying there was no sonographic correlate for the area of nodularity questioned and that findings are most likely benign. BI-RADS score of 3.

I'm perplexed how something could show up on mammogram and not on ultrasound, and though relieved a little, admittedly made a little nervous by the "probably" before benign. Other than going back for repeats of both in 6 months, as recommended, is there anything else I should do or anything I should be concerned about? One breast cancer survivor-friend of mine said I should think about going for an MRI. Please let me know your thoughts--and thanks for offering this fantastic service!
RepliedJHU's Breast Center Reply
5/13/2012There is no one specific technology today for imaging breast tissue that is 100% in showing everything. so there are times that something shows on mammogram and doesn't show with ultrasound. how suspicious or not this finding looked on mammography helps determine how far a radiologist will take the investigation. sounds like based on what you wrote he/she feels pretty confident that it is benign. The doctor cannot write "definitely benign" because he doesn't have pathology tissue to prove so. probably benign though is great to hear. if you have family history of breast cancer that is significant or other significant risk factors then the radiologist in some cases would recommend an MRI for correlation. hope that helps you.

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