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Breast Imaging
Diagnostic mammogram's and other breast imaging questions.
9,628 Ask a Question

AskedPublicly Submitted Question
2/4/2018Are these worrisome? Have biopsy scheduled for 2/12/18

Within the inferior right breast at or slightly 5-6 o'clock there is an area of architectural distortion. Additional CC spot compression images suggest that there are 2 spiculated masses within the distortion measuring approximately 2 cm. The oval
circumscribed mass within the 7:00 position of the right breast was previously biopsied and found to be benign is smaller on today's mammogram. Stable benign-appearing calcifications are noted bilaterally.
No abnormality suspicious for malignancy within the left breast.
Findings:
Within the inferior right breast at or slightly 5-6 o'clock there is an area of architectural distortion. Additional CC spot compression images suggest that there are 2 spiculated masses within the distortion measuring approximately 2 cm. The oval
circumscribed mass within the 7:00 position of the right breast was previously biopsied and found to be benign is smaller on today's mammogram. Stable benign-appearing calcifications are noted bilaterally.
No abnormality suspicious for malignancy within the left breast.

Diagnostic ultrasound:
A targeted ultrasound was performed of the patient's right and left breast.

A left breast ultrasound was performed in the area of focal pain. At 5-6 o'clock, 4 cm from the nipple in the area of focal pain and thickening there is a hypoechoic mass with indistinct margins measuring 0.6 x 0.3 x 0.4 cm. Ultrasound-guided core biopsy
is recommended. There is no mammographic correlate.
Interrogation of the left axilla demonstrates normal lymph nodes.

Within the area of dimpling involving the right breast at 6:00 4 cm from the nipple there are 2 adjacent irregular hypoechoic masses, one within the near field and the second within the far field measuring 1.6 cm in totality. The mass within the near
field measures 0.4 x 0.7 x 0.8 cm. And the mass within the far field measures 0.7 x 0.6 x 0.8 cm. Both findings appear to be part of the same pathologic process and correlate with the area of distortion on mammography. Other scattered cysts and clusters
of cysts are noted within the adjacent tissue. The patient has a very complex breast pattern.
Interrogation of the right axilla demonstrates normal lymph nodes.

RepliedJHU's Breast Center Reply
2/4/2018Architectural distortion is a term used to describe findings that don't look quite as they should, so these areas should have more imaging and/or biopsy. Try not to worry. More information is needed.

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