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Went from first mammo to biopsy scheduled in less than 24 hours

Hi! I have my biopsy for 12/12. I have a family history (aunt and cousin). Went for my first screening and immediately called back for diagnostic the next day and they scheduled the biopsy at that time.
2 masses in right breast, 4 masses in left breast, 2 in left lymph node,

Study Result
Impression
Four suspicious left breast masses at 5:00, 6:00, and 7:00 and associated suspicious intraductal calcification as detailed above for which an ultrasound-guided core biopsy of 2 of the lesions is recommended.

Two suspicious left axillary lymph nodes for which an ultrasound-guided core biopsy of one of the lymph nodes is recommended.

Right breast 0.3 cm 10:00 mass as detailed above for which an ultrasound-guided core biopsy is recommended.

Breast density category: The breasts are heterogeneously dense, which may obscure small masses. (c)

ACR BI-RADS/FDA CODES: 4-Suspicious

RECOMMENDATIONS: 3 - Biopsy

I discussed the finding and recommendation in detail with KIMBERLY DAVIS at the time of study.

Your estimated lifetime risk of breast cancer (to age 85) based on Tyrer-Cuzick-8 risk assessment model is: 19.4%. According to the American Cancer Society, patients with a lifetime breast cancer risk of 20 % or higher might benefit from supplemental screening test, such as screening breast MRI.

Patient information entered into a reminder system with target date for the above recommendation.


Narrative
LCMC MA MAMMO TOMOSYNTHESIS DIAGNOSTIC RIGHT, LCMC US BREAST COMPLETE BILATERAL

HISTORY: 40-year-old female presents for bilateral screening mammogram call back.

COMPARISON: Screening mammogram 11/30/2022

FINDINGS:
Right digital mammography with tomosynthesis and bilateral whole breast ultrasound, including all 4 quadrants, subareolar region, and axilla, were performed.

A computer aided detection program was utilized in the interpretation of this mammogram.

MAMMOGRAPHIC FINDINGS: The breasts are heterogeneously dense, which may obscure small masses. There is a right breast lateral oval asymmetry at middle depth confirmed on additional imaging. There is a right breast inferior oval asymmetry at middle depth confirmed on additional imaging.

SONOGRAPHIC FINDINGS:

Right breast:
There is a right breast 0.3 x 0.2 x 0.3 cm oval hypoechoic mass, at 10:00, 4 cm from the nipple, which appears intraductal in location. This likely correlates with the lateral mammographic oval asymmetry.

There are 2 adjacent oval subcentimeter cysts at 6:00, 6 cm from the nipple, corresponding with the mammographic right breast inferior oval asymmetry.

There are no abnormal appearing right axillary lymph nodes.

Left breast:
There is a left breast 1.6 x 1.7 x 1.7 cm irregular hypoechoic mass with associated calcifications at 5:00, 7 cm from the nipple, corresponding with the mammographic spiculated mass.

There is a similar appearing irregular hypoechoic mass at 6:00, 6 cm from the nipple, measuring 1.2 x 1.0 x 1.4 cm. This is located 1.6 cm from the 5:00 mass.

A third similar appearing irregular hypoechoic mass is identified at 7:00, 5 cm from the nipple, measuring 0.7 x 0.9 x 1.1 cm. This is located 8 mm from the 6:00 mass.

A fourth hypoechoic mass with angular margins is identified at 6:00, 2 cm from the nipple, measuring 0.5 x 0.3 x 0.5 cm.

There are intraductal calcifications at 5:00, 5 cm from the nipple, corresponding with the mammographic pleomorphic calcifications.

There are a few scattered subcentimeter cysts with benign sonographic features.

There are 2 abnormal appearing left axillary lymph nodes with eccentric cortical thickening measuring up to 0.6 cm.
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