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Doctor insights on: Birads

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Mammo in 2006 said probably fibroadenoma, sono in 2006 inconclusive. 2009 sono BIRADS 2. No followup after that. No chance in size. Should be worried?

Mammo in 2006 said probably fibroadenoma, sono in 2006 inconclusive. 2009 sono BIRADS 2. No followup after that. No chance in size. Should be worried?

You need follow up: If you are 33 now, breast lump was diagnosed at about 20 yr age, fibroadenoma (s) common at that age, and no follow up for 5 yrs, you need to see a breast surgeon, for evaluation, possible image guided core needle biopsy. If diagnosis is fibroadenoma a benign lesion removal is best option or it can be observed will not disappear, now it is up to you. ...Read more

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Birads 0 with no signs or symptom of cancer on mammogram means incomplete meaning the mammogram was done incorrectly? Or what does it mean exactly?

Birads 0 with no signs or symptom of cancer on mammogram means incomplete meaning the mammogram was done incorrectly? Or what does it mean exactly?

Incomplete: It means that the mammographic evaluation is incomplete based on the screening exam. The radiologist has identified a potential abnormality that requires special extra views, and possibly ultrasound, to completely evaluate and render a final diagnosis. Many times it turns out to be nothing, sometimes it is something that needs a biopsy. ...Read more

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Fibroadenoma in 33 y old. Report: oval, well circumscribed lesion 0.4 inch wide. Birad 3. follow up 3 mths. No biopsy done. Chance of being cancer?

Fibroadenoma in 33 y old. Report: oval, well circumscribed lesion 0.4 inch wide. Birad 3. follow up 3 mths. No biopsy done. Chance of being cancer?

It is a benign tumor: Fibroadenoma is a common condition among the young females. The diagnosis is frequently made on physical examination and confirmed with a mammogram. A biopsy is not required unless it starts to grow and increase in size. So you can watch it for 6 months up to one year and note any change in size and have a follow up visit with your doctor at least once yearly. ...Read more

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Birads of 0 with no signs or symptoms of cancer mammogram. What does this exactly mean can it be cancer? Or just needs a better look at a certain part?

Birads of 0 with no signs or symptoms of cancer mammogram. What does this exactly mean can it be cancer? Or just needs a better look at a certain part?

Birads 0: This radiology finding means the radiologist wants to compare your current study to any prior studies, or that additional radiology testing may be indicated. See this site: http://www.Cancer.Org/treatment/understandingyourdiagnosis/examsandtestdescriptions/mammogramsandotherbreastimagingprocedures/mammograms-and-other-breast-imaging-procedures-mammo-report. ...Read more

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What is the meaning of breast lamp birads 3, with none definite borders In a 66 years old women?

What is the meaning of breast lamp birads 3, with none definite borders In a 66 years old women?

Quality assurance: BI-RADS is an acronym for Breast Imaging-Reporting and Data System, a quality assurance tool originally designed for use with mammography. The system is a collaborative effort of many health groups but is published and trademarked by the American College of Radiology (ACR).
3 means: probably benign. ...Read more

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Mammo report NO INTERVAL CHANGES NOTED mean finding HETEROGENEOUSLY DENSE which may OBSCURE SMALL MASSES BIRADS 2 BENIGN FINDING why unltrasound?

Mammo report NO INTERVAL CHANGES NOTED mean finding HETEROGENEOUSLY DENSE which may OBSCURE SMALL MASSES BIRADS 2 BENIGN FINDING why unltrasound?

Report indicates: You should be followed by your doctor, due to dense breast tissue may not be able to see ' small masses ' so need a sonogram to make sure there no ' mass ' Even though the report is good you must go back to your doctor for follow up. ...Read more

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Mammo shows Heterogeneously dense breasts Birads 2 Benign finding Dr wants a untrasound I think its pointless Mammo is normal what should I do?

Mammo shows Heterogeneously dense breasts Birads 2 Benign finding Dr wants a untrasound I think its pointless Mammo is normal what should I do?

Trust your doctor: Have a discussion with your doctor about your hesitation. Find out why your doctor wants the US performed. Maybe the clinical examination warrants additional examination. Worse case scenario the US is benign. No radiation. ...Read more

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What does a birads 3 mean on mri. My mam screening had a density show up, dignastic said irreg focal asy. Den. Mri asy fibroglandular tissue. What to?

What does a birads 3 mean on mri. My mam screening had a density show up, dignastic said irreg focal asy. Den. Mri asy fibroglandular tissue. What to?

Repeat in 6 months: I recommend following up with a breast specialist who can examine you and review the films. Birads-3 means there is a benign (noncancerous) finding that should be repeated in 6 months to make sure it is stable. ...Read more

Dr. Jie Xu Dr. Xu
1 doctor agreed:
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I forgot to ask about the birads 3. Should I be concerned about birads 3 complex breast cyst?

Dr. Jie Xu Dr. Xu
1 doctor agreed:
I forgot to ask about the birads 3. Should I be concerned about birads 3 complex breast cyst?

Short term follow-up: Birads 3 usually refers to "probably benign" and requires short term follow up, usually with a "diagnostic" mammogram and ultrasound if needed. If something remains suspicious, they will recommend a biopsy. Definitely follow up! Best wishes. ...Read more

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

Mammo:ill marginated focal assymetry, sono:two lipomas or intramamary lymphs, mri:looks benign but birads 4, and recommends biopsy. I'm 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. ...Read more

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With regards to breast density shouldn't I be told if im birads 3/4 n suggest other screening?  

With regards to breast density shouldn't I be told if im birads 3/4 n suggest other screening?  

No.: Dense breast tissue is a sort of disclaimer since mammography may not be as reliable for cancer screening in affected people. In contrast, birads is a classification for specific abnormalities seen on mammograms which help guide our decisions for the "next step" in the work-up of this specific abnormality, ie, biopsy, short-term follow up, ultrasound, etc. ...Read more

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My mammogram birad is 0 with asymmetrical increased density in my right breast. Does this mean cancer?

My mammogram birad is 0 with asymmetrical increased density in my right breast. Does this mean cancer?

Not necessarily: Birads categories are just a shorthand way of communicating. Zero means test results are not certain, and you need another test to find out what's going on. You may need a close up mammogram, ultrasound, or maybe even a biopsy. In my experience, about 80% of the time it turns out to be something benign. Do follow up about it to be sure. ...Read more

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Mammo shows Heterogeneously dense breasts Birads 2 Benign finding what does then mean Heterogeneously dense breast?

Mammo shows Heterogeneously dense breasts Birads 2 Benign finding what does then mean Heterogeneously dense breast?

Breast tissue variab: The breast tissue density among women is quite variable and ranges from dense to lucent and any degree of mixed forms (that is what heterogeneous means as opposed to homogeneous). The breast that is very dense can sometimes hide a small breast Cancer. That is why such women are advised to have examination with an ultrasound in addition to mammography. You do not seem to have that problem. ...Read more

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If I was just diagnosed with a birad 4 micro calcification cluster in right breast, it looks linear and kinda branches out like a tree. CA likely?

If I was just diagnosed with a birad 4 micro calcification cluster in right breast, it looks linear and kinda branches out like a tree. CA likely?

Birad 4: Is a "suspicious" calcification and needs BIOPSY!

Hope this helps and remember EARLY detection is what it's all about!!!


Good Luck and Hope this helps!
Dr Z ...Read more

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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

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Mom 45+ on mammogram got a negative on right breast and BIRADS 2 on the left. Can this cause any harm? And how frequently should she go for mammogram

Mom 45+ on mammogram got a negative on right breast and BIRADS 2 on the left. Can this cause any harm? And how frequently should she go for mammogram

No harm: Original dx of breast Ca made by palpating tumor mass. With mammo small non palpable tumors can now be defined. The better mammo now detects clusters of microcalcification which on localization bx can detect Ca in situ before invasive Ca develops. Birads 2 of minor significance and should be rechecked in 4-6 mo. If neg. Repeat in 1 yr. Monthly physical still important in lying down position. ...Read more

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My wife US Showed Bilateral fibrocystic disease and ductectasia (BIRADs II). small right sided fibroadenoma (BIRADs III). Bilateral enlarged axillary lymph nodes, likely reactional. What should She do? Is it serious? Thanks

My wife US Showed Bilateral fibrocystic disease and ductectasia (BIRADs II). small right sided fibroadenoma (BIRADs III). Bilateral enlarged axillary lymph nodes, likely reactional. What should She do? Is it serious? Thanks

Talk to doctor: Your doctor should be the one who can discuss these issues with you. It does not seem that she has any cancerous lesions but then one needs to examine the lymph nodes to be sure. ...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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Two masses in breast, one is cyst, the other is BIRADS 4a subtype, accroding to ultrasound. Would you surgical removmal, biopsy or conservative waiting?

Two masses in breast, one is cyst, the other is BIRADS 4a subtype, accroding to ultrasound. Would you surgical removmal, biopsy or conservative waiting?

See a breast surgeon: I am not concerned about the cyst. But the second mass has been read suspicious/abnormal by the Radiologist. Most likely it is a Fibro-adenoma which is a benign tumor, mostly occurring in young females. Fibroadeenomas can be manged in 2 different ways but it requires a Surgeon to make this decision. It could be removed if it is large (>3cm) or observed by your surgeon. He may or may not biopsy it f ...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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One breast lower than the other is it breast cancer? Birad 3. With pins and needles pain like

One breast lower than the other is it breast cancer? Birad 3. With pins and needles pain like

No: In almost all women, one breast is larger, lower than the other and that is quite normal. You may address any other issues at your next visit to your doctor. ...Read more

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Can fibroadipose tissue of breast show as a large nonmass hetrogeneous enhancement on breast MRI of birad 4. If not what cancer is likely to?

Can fibroadipose tissue of breast show as a large nonmass hetrogeneous enhancement on breast MRI of birad 4. If not what cancer is likely to?

Possibly.: Most Birads 4 lesions turn out to be benign. If it is cancerous, the usual suspects are in play, including invasive and in situ ducal carcinoma, with a tilt towards lobular carcinoma. ...Read more

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44 no fam hx breast cancer. Mammo shows small cluster microcalcifications. I do have fibroglandular density with birad 2. Don't smoke, high caffeine?

44 no fam hx breast cancer. Mammo shows small cluster microcalcifications. I do have fibroglandular density with birad 2. Don't smoke, high caffeine?

BiRads II?: If your mammogram was read as Birads 2 you have less to worry about. BI-RADS II is a benign category. A cluster of microcacifications can be worrisome for breast-cancer. You should probably clarify this result with your doc to make sure no further testing is needed as the results seem contradictory. Best wishes! ...Read more

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Ultrasound: Left Breast=scattered benign appearing cysts, an adjacent nonvascular hypoechoic nodule compatible w a fibroadenoma is noted. ACR BIRADS Category2, No further imaging workup is necessary, Fibrocystic changes, 25 yrs old. I'm scared HELP?

Ultrasound: Left Breast=scattered benign appearing cysts, an adjacent nonvascular hypoechoic nodule compatible w a fibroadenoma is noted. ACR BIRADS Category2, No further imaging workup is necessary, Fibrocystic changes, 25 yrs old. I'm scared HELP?

The BiRads: Category 2 indicates benign findings and from your reports, I would agree with that. Cysts are common and benign, and fibroadenomas are quite well identified on ultrasound. This is supported by it being non-vascular...without blood supply. Cancers have a blood supply. I would continue to monitor your breasts and return to your doctor for an exam in 6 months. And then stop worrying. ..you're ok. ...Read more

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My mammogram report results came back birads 4 but my sonogram report came back negative so why does my doctor recommend a breast biopsy?

My mammogram report results came back birads 4 but my sonogram report came back negative so why does my doctor recommend a breast biopsy?

Because. ..: If a suspicious lesion is noted on mammography an us is obtained. This allows for better definition of the lesion in the breast. However, a "negative" us does not rule out an underlying problem and the correct next step is to proceed with your physicians recommendation, in this case a biopsy. None of the imaging techniques are perfect, the final decision is based on all the information. ...Read more

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Had a MRI done came back with r lesion, multiple subcentimeter cyst both breast. Impression says birads 3 mother had b cancer. What is birad 3?

Had a MRI done came back with r lesion, multiple subcentimeter cyst both breast. Impression says birads 3 mother had b cancer. What is birad 3?

Probably benign: The examination has a 97% likelihood of being benign (no malignancy in either breast.) the recommendation for a birads 3 report is to repeat the examination in 6 months. ...Read more

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Ultrasound showed 2 cysts in each breast also debri. Doctor said no cancer all benign. Follow up 6 months. Why is this a birads 3? Should I be worried?

Ultrasound showed 2 cysts in each breast also debri. Doctor said no cancer all benign. Follow up 6 months. Why is this a birads 3? Should I be worried?

Those findings: Could be appropriately categorized as BIRADS 2 (benign), according to the latest published ACR guidelines. ...Read more

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Breast ultrasound showed 4 tiny cysts 3 with debri. Doctor said all is benign she sees no cancer. She made it a birad 3 extremely worried should I be?

Breast ultrasound showed 4 tiny cysts 3 with debri. Doctor said all is benign she sees no cancer. She made it a birad 3 extremely worried should I be?

Probably not.: Birads 3 means probably benign, for a 6 mo. Follow-up. One cyst with debris may be questionable. Multiple suggests a benign process. While this sounds most likely benign and nothing to worry about, if you continue to have concerns, ask your md to get a second opinion, or a follow-up ultrasound in 3 mos. Biopsy would not appear to be indicated at the present time. ...Read more

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39 yo extremely dense fibrocystic breasts w/well-circumscribed macrolobulated hypoechoic mass 11:00 left breast 3cm above nipple BIRAD 4? Cancer?

39 yo extremely dense fibrocystic breasts w/well-circumscribed macrolobulated hypoechoic mass 11:00 left breast 3cm above nipple BIRAD 4? Cancer?

No easy answer: It is imperative that you talk with the physician who took care of you. There are many possibilities and I would have to know more about these findings to give you my best opinion. ...Read more

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45 yrs. Right breast and armpit pain and tnderness. Extremely dense breasts. Mri shows 6cm non mass enhancement regional asymmetric. Birad 4. Cancer?

45 yrs. Right breast and armpit pain and tnderness. Extremely dense breasts. Mri shows 6cm non mass enhancement regional asymmetric. Birad 4. Cancer?

This type: Of MRI-only (i assume) finding needs to be biopsied, but there is probably at least an 80-90% chance that it will be benign, assuming that there are no other suspicious MRI features. ...Read more

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1st mammogram ever and abnormal, family history breast cancer. Single group amorphous microcalcs in left breast. US BIRAD 3 and now going for MRI. Biopsy?

A grouping: Of amorphous calcifications is probably not appropriate for BIRAD category 3 (probably benign). Although they are still likely going to be benign, stereotactic needle biopsy may be more appropriate management, and BIRAD 4 a more appropriate category. Breast MRI is generally not that useful in the imaging work up of microcalcifications. ...Read more

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Lg firm lump 3 o clock pos beside/ behind nipple on rt breast had mam/ult results birads 3-after it got red warm tender now itching armpit under skin?

Lg firm lump 3 o clock pos beside/ behind nipple on rt breast had mam/ult results birads 3-after it got red warm tender now itching armpit under skin?

BIRAD 3 abn: If the mammogram reported to have BIRAD 3 grading, they also should have instructed the follow up on that, if you have symptoms in and around that area, have it examined to have further treatment plan. ...Read more

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Is annal sex bad?

Is annal sex bad?

Potentially: The anus is an exit not an entrance, and so I discourage my patients from partaking. Besides the risk of infection including std's, you risk damage to the sphincter mechanism that can not be repaired, leaving you with variable incontinence. Not worth the risk! ...Read more