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Need some information

This is my 2nd mammogram.Can someone tell me what it means to only find 10 MM ASYMMETRIC POST SUPERIOR RIGHT BREAST
On one view,both the 2d and 3d mammogram. Here is my mammogram reading..10 mm asymmetric post superior right breast.

COMPARISON:
Bilateral mammogram of 10/30/2020 and 12/2/2014.

TECHNIQUE:
Additional diagnostic views to include right CC and MLO tomographic images and
spot MLO and exaggerated lateral CC image.

FINDINGS:
The breast is heterogeneously dense.
The density at the posterior superior aspect of the right breast demonstrated on
the prior MLO view does not definitely persist on the spot MLO view. However, on
the tomographic images there is a persistent ill-defined 10 mm density in this
region best seen on MLO tomographic image #24 of 60. However, a discrete
abnormality is not identified on the exaggerated lateral CC view. On the CC
tomographic images the area is heterogeneous. For further evaluation a targeted
sonogram of this area is recommended........thank you
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15695260 tn?1549593113
Hello and welcome to the forum.  Thanks for your question and sorry for the delay in answering.  Has your doctor gone over the results with you yet?  I assume so.  For anyone reading, it's always wise to set up a follow up time to talk either via teleconference, virtually on line or in person to go over test results.  Breast density is very common.  Heterogeneously dense means that the breasts are mostly dense with some fat.   That doesn't mean cancer but it obscures the view during mammography.  They are requesting to take a second look.  This is, again, all very common.  What did the second look reveal?   Having breast density, again, does not mean you have cancer.  However, there is a higher risk for cancer when breasts are dense.  https://www.webmd.com/breast-cancer/dense-breasts  Please give us an update on your follow up!
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1 Comments
Thank you.This is the results from my ultrasound.There are two complex cystic lesions noted, both with good through transmission,
but have some internal septations. One measures 8 x 6 x 10 mm, the larger one
measures 12 x 6 x 8 mm.

IMPRESSION:

1.  Mammographic findings correspond to complex cystic lesions. These are
probably benign This can be followed with ultrasound right breast 6 months..

BI-RADS Category 3- Probably Benign.I will check in after the next ultrasound in 6 months
Avatar universal
BREAST COMPOSITION:

Every mammogram is assigned 1 of 4 categories to describe the density of the breasts.
Listed from least to most dense, the categories are as follows:

a. The breast are almost entirely fatty.
b. There are scattered areas of fibroglandular density.
c. The breasts are heterogeneously dense, which may obscure small masses.
d. The breasts are extremely dense, which lowers the sensitivity of mammography.

In your case, your breasts were categorized as heterogeneously dense.
Having dense breasts makes it more difficult to detect breast cancers.
Having dense breasts also increases your risk for breast cancer.
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Avatar universal
BREAST FINDINGS:

According to BI-RADS lexicon, an asymmetry is an abnormality visible on only 1 mammographic view (i.e., only CC or only MLO), whereas focal asymmetry is an abnormality visible on 2 mammographic views (i.e., both CC and MLO). When an asymmetry is detected on screening mammography, the patient is typically recalled for diagnostic mammography with spot compression. If the finding does not persist with spot compression, it was likely due to superimposition of normal breast tissue. If the finding persists with spot compression, further workup is warranted (e.g., breast ultrasound).
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Avatar universal
BREAST TECHNIQUE:

Discussion of 2D vs. 3D: 2D mammography only takes images from the front and side, whereas 3D mammography (aka tomosynthesis) generates images of the breast by taking multiple views across the breast in an arc. In addition, synthetic 2D digital images can also be derived from the 3D mammography data.

Discussion of other views: Exaggerated CC view (aka XCCL) is a supplementary mammographic view. It is particularly good for imaging the lateral (outer) aspect of the breast. It is often done when a lesion is suspected on MLO view but cannot be seen on CC view.
Helpful - 0
1 Comments
Thank you for the information.I had a ultrasound done.  
There are two complex cystic lesions noted, both with good through transmission,
but have some internal septations. One measures 8 x 6 x 10 mm, the larger one
measures 12 x 6 x 8 mm.

IMPRESSION:

1.  Mammographic findings correspond to complex cystic lesions. These are
probably benign This can be followed with ultrasound right breast 6 months..

BI-RADS Category 3- Probably Benign.I will check in after the 6 month ultrasound
Avatar universal
BREAST IMPRESSION:

In laymen's terms, your screening mammography detected a possible abnormality so you were recalled for diagnostic mammography for additional views. This abnormality did not persist on some views (such as the spot compression MLO view) and was not seen on other views (such as the XCCL view) but persisted on a single slice of the tomosynthesis. To resolve this discrepancy, the radiologist recommended additional tests (i.e., targeted breast ultrasound).
Helpful - 0
973741 tn?1342342773
Hi!  Was wondering how this turned out for you?!
Helpful - 0
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