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1737879 tn?1386202314

mammogram report

I really do not understand what my mammogram means and I was wondering if you could explain it.

clinical: Annual bilateral screening mammogram, history of left breast carcinoma.

comparison: none. only a dictated report from parma community hospital dated 7/3/2007 is available for correlation.

digital mammography was utilized for this examination computer aided detection analysis was utilized during interpretation of this study.

Bilateral craiocaudal and mediolateral oblique images were performed.

marker was placed over inferior left breast corresponding to the site of prior surgery. Architectural distortion involves the anterior and middle third of the left breast adjacent to the surgical marker. scattered nonclustered parenchymal calcifications are present. in view of the patients clinical history it is imperative that outside examinations be made available for correlation.

Impression: Architectural distortion involving the inferior left breast adjacent to the surgical marker. it is imperative that prior outside examinations be made available for comparison and once obtained an addendum this report will be generated. if outside examinations remain unavailable then further evaluation with left lateral, spot compression craniocaudal and mediolateral oblique images will be necessary.


I was never told I have breast cancer. I did have a lumpectomy in 2007 but was told it was benign. I am not sure if they are confusing my ovarian cancer with my breast issue. I am going for another mammogram on 12/12 and maybe a ultrasound that same day. I just really have no idea what the report means. as always thank you for your time and response.
4 Responses
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1737879 tn?1386202314
the Dr. said they might want further evaluation because they think I had breast cancer before. she also said she does not think its anything because it is not clustered together. so that I am happy about. I am not worried about this anymore. I will just deal with one problem at a time and not worry about what could be wrong. they never did get the mammograms but I did remember that I had a mammogram done at Cleveland clinic in around 2009 and when I went to talk to the nurse where I am getting the mammogram done she said it is too old. that was the last time I had a mammogram so I guess it does not matter. I will be going to get a ultrasound and another mammogram done on Jan 2nd. thank you for your concern and time. as always.
Helpful - 0
6644139 tn?1384785657
MEDICAL PROFESSIONAL
Yes I am completely sympathetic to what you're going through.  What did the doctor say?  Did they ever find the old mammograms to compare your current ones to?
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1737879 tn?1386202314
I have to change this apt because I have the endocrinologist apt on the same day and it is in two different counties. trumbell/Cuyahoga. I did tell them my aunt and grandmother had breast cancer but my surgery was benign. I go see the Dr. who ordered the mammogram today and will talk to her. I was wondering too if it could be from the surgery that I had. I also had to have surgery the next year because I had an abscess where the lump was. I do know I don't want to have to deal with two different kinds of cancer at the same time. thank you for your time.
Helpful - 0
6644139 tn?1384785657
MEDICAL PROFESSIONAL
Hi Kim,
I'm not a radiologist so take everything I say with a grain of salt. A lot of time when it comes to radiology it is very useful (if not essential) that the radiologist can look at any previous images that may be available, in this case previous mammograms that you may have had.  If the radiologist can compare your old mammogram to the current one, they can comment whether there have been any changes that are more worrisome or whether the findings have remained stable over time.  A finding that is changing, either size or quality, amongst other things, will lead to additional actions.  Architectural distortion and calcifications are findings that the radiologist looks for when screening for breast cancer or masses.  At my institution, once an abnormality is picked up on screening mammogram then additional imaging is performed (spot compression and ultrasound, which you mention) to help further characterize what they're seeing.  A biopsy may then be performed if the level of suspicion remains high, or a short follow up mammogram may also be recommended (maybe in the 3-6 month range).  An addendum report is when they gain additional information then they issue a report that reflects this information.  Interesting that they think you have a history of breast cancer, you should try to clarify this during your next appointment.  It's probably a typo but it would be good to be sure the aren't mixing you up with someone else.  Hope this helps, I realize it's probably clear as mud.  Let me know how you're doing okay?
John  
Helpful - 0

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