Mammo:ill marginated focal assymetry, sono:two lipomas or intramamary lymphs, mri:looks benign but birads 4, and recommends biopsy.im confused/scared!

Seek expert opinion: I would advise that you consult a breast cancer surgeon or medical oncologist who has reputation of being a specialist in breast diseases/cancer. Based on your history, you may need to have a biopsy of the lumps/masses/ shadows that you have mentioned. That is the final solution to any palpable/visible lump in the breast. This will remove your anxiety which is due to the uncertainty you are facin.

Correlation of findings: The radiologist performing the mammogram, ultrasound and MRI must confirm that the finding correlate with one another. A birads four score on the MRI is not "fine". This indicates the need for biopsy. There should be a correlation done between the findings of the MRI and the other modalities to use the easiest technique to perform the biopsy. The easiest technique is usually considered to be ultrasound.