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A hypoechoic lesion is a finding on ultrasound studies that refers to any structure which bounces back sound waves poorly, so that the image generated appears dark on the monitor screen. Structures which have less density, and contain more water, air or fat may appear as hypoechoic.
Well the fact is that a hypoecoic lesion could be either a cyst or a beign tumour or a malignant tumour.
What is your age?
A hypoechoic lesion means that its density is less than the surrounding normal breast tissue which is said to be isoechoic on ultrasound. Further investigations like a biopsy would be required for a confirmed diagnosis.
A biopsy is a very safe procedure and your specialist will not do it , if it holds any safety concern for you. You could discuss the procedure withyour doctor in detail and clear out any doubts that you are having.
Let us know what the specialist advises and if you have any doubts.
Keep us posted on how you are doing.
Regards.