Pos finding on spot compres/neg ultrasound?

Hello, I'm 36 and my Mom is a bc survivor. Went for my 1st baseline mammo two weeks ago. Got notice by mail that there was a "finding" that needed additional images to make a determination. Recommended digital mammo/spot compression/ultrasound of the R breast. Went today and saw original films, there was a white area circled on the 2 films of my right breast. Got 4 more spot compression pics done and onto ultrasound. Dr comes in and asks why I'm having a mammo at my early age and I tell him about Mom. He asks if I had trauma or injury or surgery to the right breast in the 4 o'clock area. No. He feels my breast and finds nothing. He then does another ultrasound of the area himself and sees nothing. Says it's "probably" nothing and will recommend 6 mo follow up mammo/us and go from there. Given my history (Mom Invasive DC metstasized to nodes 1-12, Stage 3) I am not comfy with a "probably" and a six month wait. I have a call into my Dr who probably won't get results from radiology until Monday. Do I ask for an MRI at this point? Another radiologists opinion? A referral to a breast specialist? His tone today was very uncertain and left me uneasy.

[japdip]

If you aren't comfortable with the opinion of this Radiologist then by all means have your films read by a second Radiologist. I would wait until you get the full report from the spot compressions; it is not unusual on a screening Mammogram to have the additional films which often show nothing just as the Ultrasound seems to have done. Shadows can be prominent on a screening film but when compressed the area will appear clear. Breast tissue that is folded over on itself is frequently the cause of this difference. If your compression views are clear then I wouldn't go any further except the re-check in 6 months. You should be aware that family history accounts for a very small percentage of Breast Cancer diagnoses even though early Mammograms are always a good idea when there is 1st degree family history. Regards ..

[OkieJess]

Thanks I'm leaning that way, waiting for the official report and going from there. The Radiologist looked at the compressions and said the area sustained and that's why we did the ultrasound. I'm confused as to how something can be so clearly visible on the mammo and then disappear on ultrasound?

[OkieJess]

Update: Dr office (my gyn) called and agreed 6 months was too long and I am scheduled to see a breast surgeon on Mar 1 for consult/opinion. Very happy!

[japdip]

The difference is in the way the tests "see" things .... One like a regular Xray and the other using sound waves.
If you're happy then that's all that is necessary ... peace of mind is a wonderful thing.  Good luck when you see the Surgeon.

[OkieJess]

Thank you very much ;). This forum is wonderful!