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Doctor insights on: Birads

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Dr. Ester Kwok Dr. Kwok
13 doctors agreed:
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Mammogram with punctate pleomorphic calcifications. Is that breast cancer?

Dr. Ester Kwok Dr. Kwok
13 doctors agreed:
Mammogram with punctate pleomorphic calcifications.  Is that breast cancer?

Needs investigation: Although breast calcifications may not necessarily mean cancer, pleomorphic calcifications are suspicious. A biopsy should be done. Talk to your doctor. Pleomorphism means that something is of varying shape and characteristics. A non-cancerous or benign calcification will be read as "benign-appearing". Don't delay your biopsy. ...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.Im confused/scared!

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. ...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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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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3cm hypoechoic solid vascular thyroid nodule with a cluster of hurthle cells, fna benign, follow up ultrasound now shows microcalcifications. Cancer?

3cm hypoechoic solid vascular thyroid nodule with a cluster of hurthle cells, fna benign, follow up ultrasound now shows microcalcifications. Cancer?

Not necessarily...: The fact that FNA was reported as benign, the nodule is unlikely to be malignant. Small droplets of benign colloid often mimic "microcalcificatins" of papillary tumor, hence caution is advised. I would suggest repeating the FNA, and consider also collecting samples for gene profiling studies, such as, those manufactured by Veracyte and Asuragen (Note:I have no financial/other interest.) ...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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Us of thyroid 3 growing nodules 1.5cm + . Microcalcification, internal vascularity, iso & hypoechoic, solid. history stg III melanoma. Fna sched. Worry?

Us of thyroid 3 growing nodules 1.5cm + .  Microcalcification, internal vascularity, iso & hypoechoic, solid. history stg III melanoma. Fna sched. Worry?

Thyroid nodules: Though majority of thyroid nodules are benign but increased vascularity calcification and increasing size suggest a possible chance of malignancy you need a ultrasound guided biopsy to decide future management. ...Read more

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On a mammogram what does stable right breast nodule consistent with benign etiology (BR-RADS 2 Benign) mean?

On a mammogram what does stable right breast nodule consistent with benign etiology (BR-RADS 2 Benign) mean?

BR-Rads 2: BI-RADS 2 means that your mammogram was normal (ie, no cancer), but other findings (eg, cysts) are described in the report. You should continue your routine screening. ...Read more

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Breast ultrasound indicate 2 hypoechoic nodule with well defined margins. Meaning?

Breast ultrasound indicate 2 hypoechoic nodule with well defined margins. Meaning?

Cyst?: This could be bening cysts. However you should have your dr either do fna for pathology or close surveillance. ...Read more

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26 f w/ nodule that is solid heterogenous, increased vascularity, internal microcalcifications, 7x5x8mm, is this high risk malignant?

26 f w/ nodule that is solid heterogenous, increased vascularity, internal microcalcifications, 7x5x8mm, is this high risk malignant?

Not for sure: More than 95 percent of thyroid nodules are benign. Size is criteria for biopsy, greater than 1 cm. For thyroid nodules with a diameter of 1 cm or less, the sensitivity of microcalcifications for malignancy lower than in larger nodules. Should follow closely with repeat us exam. ...Read more

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Mammogram shows macro calcifications,& bilateral axillary sub cm nodes. Ultrasound shows normal readings. Strong family history of bc &uterine cancer.

Mammogram shows macro calcifications,& bilateral axillary sub cm nodes. Ultrasound shows normal readings. Strong family history of bc &uterine cancer.

Calcifications: 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. "Sub centimeter" axillary lymph nodes are normal findings. ...Read more

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Mammogram doubts neoplastic process, scan shows well lobulated solid mass,wider than taller,family history of 2 sis of breast cancer..d/d plz ?

Mammogram doubts neoplastic process, scan shows well lobulated solid mass,wider than taller,family history of 2 sis of breast cancer..d/d plz
?

It sounds: like you had a breast ultrasound as well. Obviously limited info and incomplete description, but based on those descriptors, it is probably a BIRADS category 3 lesion(98% or greater chance of being benign). Most commonly, a mass with this description is a benign fibroadenoma. ...Read more

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History invasive breast cancer, US of thyroid show multiple solid nodule, largest 1.5 CM w/microcalcifications & hypervascularity. Odds of malignancy?

History invasive breast cancer, US of thyroid show multiple solid nodule, largest 1.5 CM w/microcalcifications & hypervascularity. Odds of malignancy?

Possible: most likely your doctor will do aspiration biopsy ( FNS ) in the office wait for the results , in general prognosis is excellent in most of the thyroid cancers . 44 yr old can expect cure , speak to your doctor ...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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Thyroid US shows 1cm nodule, heterogeeous, hypoechoic, irregular borders. Could this be malignant?

Thyroid US shows 1cm nodule, heterogeeous, hypoechoic, irregular borders.  Could this be malignant?

Could be, but ...: Usually the bad ones are larger and solid. The definitive test is always a biopsy. An U/S finding is just suggestive or not. Discuss the results with your doc and the ultrasonographer. Good luck and best wishes! ...Read more

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Pathology cytology report of Left thyroid biopsy says NO malignant cells... changes suggestive of Colloid nodule/ nodular Goiter. What's next?

MNG + cyst: Hello ~ this is a nodule in MNG (multi-nodular goitre). Previously thought to have no risk of Ca and DOMINANT nodule to have 1% risk and solitary nodule 10% risk. Retrospective studies now show up to 13.7% risk of cancer overall in MNG. Thats high. I would see a surgeon to discuss if this warrants thyroidectomy. thanks ...Read more

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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?

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

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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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Doctors found a 10mm cyst on my mammogram/ultrasound. And have increased my BIRAD to 3 rather than 2. Does this mean I have cancer?

Doctors found a 10mm cyst on my mammogram/ultrasound. And have increased my BIRAD to 3 rather than 2. Does this mean I have cancer?

NO, probably NOT!: Most beast cysts are benign.
BIRAD 3 means it is probably benign but there is a small (about 2%) chance it is cancerous. It is usually advised to recheck in 6 months.
See https://breast-cancer.ca/bi-rads/
and also see https://thetruthaboutcancer.com/breast-cancer-prevention-tips/ ...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.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. ...Read more

See 1 more doctor answer
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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 ?

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 ?

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