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Doctor insights on: Abnormal Mamo And Ultrasound

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Mammo shows Heterogeneously dense which may obsure sm masses Birads 2 breasts no suspicious masses dr wanting ultrasound report said annual mammo ?

Mammo shows Heterogeneously dense which may obsure sm masses Birads 2 breasts no suspicious masses dr wanting ultrasound report said annual mammo ?

Need sono: Mammo with heterogeneous dense mass needs evaluation as to whether a lesion is hiding in area of density. This can be accomplished by sono or MRI but resolution of density required. The sono can detect a specific region that could be suspicious and require bx. ...Read more

Dr. Michael Gabor
2,271 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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Mammogram shows Heterogeneously dense which may obsure small masses Birads 2 both breast no suspicious masses why is my dr sending me for a ultrasound?

Mammogram shows Heterogeneously dense which may obsure small masses Birads 2 both breast no suspicious masses why is my dr sending me for a ultrasound?

Dense: breasts lower the sensitivity of mammography for detecting cancers, by some studies to as low as 50%. Adding screening ultrasound in this setting may improve cancer detection. This is an evolving issue in the breast imaging community and there is currently no clear consensus. ...Read more

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Mammogram showed macro calcifications but ultrasound is normal. Family history of bc and uterine. Is a biopsy required for further evaluation?

Mammogram showed macro calcifications but ultrasound is normal. Family history of bc and uterine. Is a biopsy required for further evaluation?

Not enough info: to make an assessment. Whether or not calcifications need to be biopsied primarily depends on their size, shape, and distribution. If they are typically benign based on those criteria, biopsy is usually not indicated. ...Read more

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Have fibrocystic breast disease. Ultrasound shows 1cm well circumscribed breast nodule and doc wants biopsy? Normal procedure?

Have fibrocystic breast disease. Ultrasound shows 1cm well circumscribed breast nodule and doc wants biopsy? Normal procedure?

Yes: Core needle biopsy is routine procedure for any mass found on mammography or ultrasound. It doesn't sound like it is cancer, but the reason you had the ultrasound in the first place is to see if there were anything that your doctor can't feel on exam, right? Now that they see something, you need to find out what it is. By doing a biopsy, you will know for sure. ...Read more

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Recently had a mammo and sonocine. Sono came back normal but mammo cam back that I needed diagnostic mammo. Isn't the sono more reliable?

Recently had a mammo and sonocine.  Sono came back normal but mammo cam back that I needed diagnostic mammo.  Isn't the sono more reliable?

Get the mammo: If there was a mammographic abnormality for which they recommended diagnostic mammogram, please follow through. Ultrasound cannot always show what is on a mammogram especially if there are micro calcifications which are sometimes due to breast malignancy. Ultrasound is more helpful for palpable abnormalities and mammography densities, but does not substitute mammogram. ...Read more

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Would an ultrasound and a transvaginal ultrasound still miss signs of ovarian cancer?

Would an ultrasound and a transvaginal ultrasound still miss signs of ovarian cancer?

Yes: Almost all test and imaging studies have false positive and false negative results. Early ovarian cancer is particularly difficult to detect as the normal ovary often has cystic changes and varies in size during the reproductive period. Having said that, transvaginal ultrasound is a useful and perhaps the best test for detecting ovarian cancer. ...Read more

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Normal pap but ultrasound shoes uterine thickening with polyp?

Normal pap but ultrasound shoes uterine thickening with polyp?

Pap smears: Pap smears allow pathologists to evaluate cells from the cervix (the outside or ectocervix and inside or endocervix). Most of the time we do not find cells from the endometrial cavity in the test slide because the pap smear collection brush should not go into the endometrium. Additional biopsies are required to evaluate endometrial pathology. ...Read more

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Mammogram shows macro calcifications but ultrasound is normal. Have a family history of bc and uterine cancer. Is biopsy needed for further evaluation?

Mammogram shows macro calcifications but ultrasound is normal. Have a family history of bc and uterine cancer. Is biopsy needed for further evaluation?

More info: is needed. Whether or not calcifications need to be biopsied depends on their size, shape, and distribution. If they are typically benign by those criteria, they don't need to be biopsied. ...Read more

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Mammo shows Heterogeneously dense breasts Birads 2 Benign finding what does Heterogeneously dense breast mean? my dr wants a ultrasound is it needed?

Mammo shows Heterogeneously dense breasts Birads 2 Benign finding what does  Heterogeneously dense breast mean? my dr wants a ultrasound is it needed?

Uniform dense breast: In the young female the breast is extremely dense and consists of mostly breast tissue. With age, the breast tissue is dispersed with fatty tissue so that over 35yo mammo can be performed and one can visualize breast tissue. In some patients over 50 the mammo shows only sheets of dense breast tissue with no fat spread interstitially. Here a small lesion can only be detected by ultrasound. ...Read more

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Which is better for detecting ovarian tumors ultrasound or cat scan, my pelvic ultrasound said solid mass, CT said no mass?

Which is better for detecting ovarian tumors ultrasound or cat scan, my pelvic ultrasound said solid mass, CT said no mass?

Complimentary: Ct ; ultasound are complimentary imaging modalities. For smaller masses in appropriate location ultrasound may have an advantage especially if done transvaginally. For larger masses ct may have the advantage of not being blocked by bowel gas and being less degraded by large body habitus. More specific info in your case would be helpful. Size of mass? How was the sono done? Ct with oral and IV cont. ...Read more

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I had a suspicious mammogram and abnormal cells with pap smear. I amscheduled for further mamo and another pap. The 2 togethter worrisome or coincident?

I had a suspicious mammogram and abnormal cells with pap smear. I amscheduled for further mamo and another pap. The 2 togethter worrisome or coincident?

Mammogram/Pap: They are most likely coincidental. A suspicious mammogram and abnormal cells in pap are findings on these screening tests, and they don't confirm the presence of cancer. But rarely certain types of breast cancer can metastasize to the uterine cervix. You definitely do need to follow up and find out what these findings really are. ...Read more

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Ultrasound findings , abnormal bleeding for 5 weeks..Endometrium thickness was 0.7cm uterus is diffusley heterogeneous calcifications both ovaries?

Ultrasound findings ,  abnormal bleeding for 5 weeks..Endometrium thickness was 0.7cm uterus is diffusley heterogeneous calcifications both ovaries?

Dysfunctional Bleed: Abnormal bleeding could be caused by an endometrial abnormality such as a polyp or tumor. A hysterosonogram, in which saline is instilled into the uterine cavity during ultrasound may provide more information. An endometrial biopsy will likely be needed to better define the problem. Irregular bleeding may also be experienced in the perimenopausal period. ...Read more

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Can a transvaginal ultrasound and/or pelvic ultrasound show enlarged lymph nodes around the ovary?

Can a transvaginal ultrasound and/or pelvic ultrasound show enlarged lymph nodes around the ovary?

Yes,: but not reliably. Regional bowel gas can obscure pelvic lymph nodes. Also the position of the ovaries is variable, and they may not be situated next to internal iliac nodal chains. So not seeing enlarged lymph nodes on a pelvic sonogram is not sufficient to exclude them. CT or MRI is much better. ...Read more

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Ultrasound on lump done. Report says birad1, tissue looks fibrocystic. what does that mean? ultrasound done 3x in 2 mths. Change of missing cancer?

Lump cancer?: It means it is compared of fibrocystic tissue. Not cancer. Where is it? Most likely lipomas which is almost never cancer. Discuss with your Dr. ...Read more

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Endometrium is enlarged an mildy heterogeneous, prior to this endometrium was normal in size and contour. Can my uterine polyp cause abnormal findings?

Polyps: It sounds like you are stating that you have a known endometrial polyp. If this is true then then explains why the endometrium has an abnormal appearance on sonogram. Discuss with your obgyn options for polyp removal. This is a fairly simple procedure. ...Read more

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Ultrasound showed enlarged right ovary and thickened uterus--possible miscarriage?

Ultrasound showed enlarged right ovary and thickened uterus--possible miscarriage?

Not necessarily.: The differential diagnosis includes ectopic pregnancy (life-threatening), miscarriage and early normal pregnancy with or without ovarian pathology (it could be a corpus luteum normal cyst). Serial beta HCG testing and a follow-up sonogram should help your ob/gyn reach the correct diagnosis for you soon. Best of luck! ...Read more