Doctor insights on:
Breast Mri Shows Lesion And White Spots
There is: Not enough info to answer the question, because signal intensity varies depending on what particular MRI sequence is being performed, and whether or not IV contrast is used. For example, a benign breast cyst is hyperintense (white) on a T2-weighted sequence, and hypointense (dark) on a T1-weighted sequence. A benign fibroadenoma may be dark on T1 without contrast, but white with contrast. ...Read more
Mri or magnetic resonance imaging is one of the more recently developed imaging modalities available to physicians. It uses powerful magnets to generate images. There is no ionizing radiation which is a major advantage over many other modalities. Mri is the best imaging exam that we have for most soft tissue and joint related problems. There are radiologists ...Read more
Had deep ache in up back in one spot for over 2 yrs, I have had right breast ultrasound it was ok, mam ok. Spine MRI ok. Shoud I get MRI of breast?
Recent ultra sound shows 9mm complex hypoechoic lesion in left breast 1:00 position. MRI of breast 3 months ago clean. Dr says to revisit in 6 mos. Should I be concerned?
Breast lesion: Followup can be sooner, or a second opinion could be considered ...Read more
If the: Lymph nodes are infiltrated with cancer to the extent that they enlarge or lose their normal shape, they can be detected with MRI. Of course, there are a number of other causes of abnormal lymph nodes (e.g. infectious/inflammatory processes). Microscopic invasion of lymph nodes would generally be undetectable on MRI...the lymph node would look normal. ...Read more
Breast MRI shows mass that is taller than wide, and in the color ones, all are at the higher end of the color spectrum. Could this be bad?
Taller than: Wide is usually a descriptor used with ultrasound, and is a feature that implies a higher level of suspicion. I'm not clear on your description of the color mapping/enhancement pattern. If it is red, that usually indicates a "washout" pattern, which implies a higher level of suspicion.. ...Read more
No: Radiologists say that one of the disadvantages of breast MRI is that its specificity appears is moderate (not high), although the specificity (specificity = % of abnormal lesions that are actually cancer) has been hard to determine. Published reports give specificity values of 37% to 97%, depending on the selection of both the MRI technique and the criteria for determining cancer. ...Read more
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
Dimple, and linear calcifications in breast. MRI set for Mon. Morning. What will the MRI show, as opposed to mammogram and ultrasound?
I see: You have a history of DCIS on the right, a lump on the left, and new calcifications on the right. If you have had surgery/radiation, then post treatment scarring etc... can look suspicious on mammo/US. MRI can tell the difference. Also, MRI is better at preoperatively determining extent of disease, looking for additional suspicious areas, and evaluating the opposite breast. ...Read more
Breast MRI of non mass is 4.7cm✖️6.1cm AP✖️3.9cm big. Have small breasts does this mean chest wall invasion? Would MRI show that? If cancer
It doesn't mean: There is chest wall invasion (MRI would show it), and it doesn't mean you have cancer. Depending on other MR features, and assuming no mammogram, ultrasound, or palpable abnormalities, non mass enhancement is most likely to be benign. It may need biopsy, however, due to the small chance of malignancy. ...Read more
Usually within 24hrs: The typical breast MRI may produce 2-3000 images and a large volume of data (detailed architecture images and dye flow data) that need to be crunched, mapped and interpreted. I generally try to give the radiologist 24 hrs to produce a final read but know that they can often get results out prior to this depending on work flow and other factors. ...Read more
Maybe: The axillary nodes (actually the whole chest and upper abdomen) are included in the bmri images but the test is focused on the breast tissue. The bmri may show enlarged or even abnormal (lacking normal architecture) nodes but can't definitively tell if there are cancer cells present. The normal healing/inflam response to bx will swell nodes. Pathologic eval/biopsy of the nodes is definitive. ...Read more
Is it true that a breast MRI can pick up problems in other parts of the body such as the kidneys?
Face-down: A breast MRI is performed with patients laying on their stomach, allowing gravity to move the breast tissue away from the chest wall through a hole cut out of the table. This is performed with the injection of an intravenous dye to help differentiate benign lumps from cancers. ...Read more
It is: Anything is possible, but a tissue diagnosis is needed, usually with a biopsy of some sort. If that shows an inflammatory cancer, then chemotherapy and RT is usually recommended first. The waiting is the hardest part, but your doctor has a methodical approach to get the answers. Take a deep breath, hang in there and good luck. ...Read more
There is: Not enough info to answer the question, because signal intensity varies depending on what particular MRI sequence is being performed, and whether or not IV contrast is used. For example, a benign breast cyst is hyperintense (bright) on a T2-weighted sequence, and hypointense (dark) on a T1-weighted sequence. A benign fibroadenoma may be hypointense on T1 without contrast, and hyper with contrast. ...Read more
Need context: "hyperintense" means "bright" signal on either t1 or t2 (more likely) weighted sequences. These mean different things, and thus more info is needed. You can learn more about MRI scanning (in text and video) here: http://www. Conciergeradiologist. Com/how-does-mri-work. Html. Be sure to check out related pages on the site to learn more about all things mri, especially as it relates to your case. ...Read more
About $2000: Mammograms are the"gold standard" for breast cancer screening because they miss few cancers (~10%) and are inexpensive. Mris are more sensitive than mammograms and are especially useful for women with very dense breast tissue, however they are very expensive. If you do get an MRI we still recommend mammograms because microcalcifications are better seen that way. ...Read more
How many days should I wait to hear results from my breast MRI with contrast? 4/26/13, results faxed 4/29&4/30.
Don't wait!: Be a squeaky wheel. The next day, call your doctor or ask to speak to the radiologist. In my practice the studies are usually read the same day and then the referring physician can access the report immediately. This may not be true for the radiology group which has performed your study, but you can probably move your study to the top of the queue just by asking. ...Read more
One or two breast MRI procedures? I have to get a MRI to look at my breasts - is it standard to do a MRI for each breast, or can the machine look at both at the same time?
Generally: Short interval follow up is the suggested management for an average risk patient with BIRADS 3 lesions, which have less than 2% chance of malignancy based on imaging features. In a high risk patient, however, it would not be inappropriate to perform a needle biopsy of a BIRADS 3 lesion in order to establish a definitive diagnosis without having to wait. ...Read more
Hi. What does this statement on a bilateral breast MRI suggest? "Heterogeneous signal abnormalities within the sternum." Should I be worried?
Not necessarily: Heterogenous means the marrow is non-uniform and varies in appearance. This term is usually used for Category III bone marrow "abnormalities", which are more often benign and have minimal to no enhancement with contrast. It is a non-specific finding that can be seen with a variety of usually non-malignant disorders and needs to be interpreted in clinical context. See http://bit. Ly/2c8JgAx ...Read more
Breast Mri VAB biopsy of regional non mass hetrogeneous enhancement is benign breast tissue 2nd rad opinion wrong area biopsied what to do. Scared?
If the second: Opinion is correct (not always the case), you need to have another biopsy so the right area is sampled. Consider discussing your concerns with the original radiologist, or consulting a third radiologist as a "tie breaker", before having the procedure repeated. ...Read more
Several reasons: A breast MRI gives a more detailed picture of the breasts than mammogram or ultrasound. It is recommended in young women whose breasts are dense and hard to see on mammogram. It is also better for detecting certain types of breast cancer (lobular or inflammatory breast cancer.) the downside is that it finds many "spots" that aren't breast cancer. ...Read more
Pro's N Con's: Breast MRI is more sensitive than mammograms for finding breast cancer, but at a significant cost, both financial & finding 'false alarms' which often require biopsy. Overall, current indications are limited to women at very high risk for ca, checking for implant rupture, preoperative surgical planning, and follow-up of some cancer survivors. ...Read more
Not necessarily: Bmris are used for "in breast" staging of newly diagnosed cancer and also as an adjunct to mammograms for screening of high risk women. You would obviously know if you fell into the first category. Talk with your doctor if you think you feel it may be the 2nd. You may benefit from evaluation by a breast surgeon. ...Read more
Yes and no.: It is the most sensitive breast imaging study (detects the greatest number of lesions) but is not the most specific (a lot of these lesions are not malignant and some will need to be biopsied to prove that they are not malignant.) it is only recommended that a woman obtain a breast MRI if she is at high risk of breast cancer (strong family history, etc). Talk with your doctor about it. ...Read more
Length of time for breast mri? I have to get a MRI next week to look more closely at my breasts - how long do they usually take?
30-60-minutes: And the whole appointment should take no more than 90 minutes. ...Read more
Breast MRI picked up mass that has been changing over the past year. What could it be? Ultrasound set for Tues. Should I be worried?
Breast MRI: Breast MRIs are usually reserved for those at the highest risk of breast cancer so this finding is of concern. The ultrasound will tell you if it's cystic (less risky) or solid (more risky). Hope this helps. Best wishes for you. ...Read more
Are doctors obligated to share my films if I want to get a second opinion? I recently had a breast MRI but am confused about the results and would like to get a second opinion. However, when I asked for the image to share with another dr, the first dr ref
I: I first recommend asking the consulting doctor to call the radiology office and discuss your case with the radiologist. The situation should be able to be resolved with additional communication. In the unusual situation that were to fail, based on the health insurance portable and accountability act (hipaa) if you make a written request to obtain a copy of your medical record (in this case a breast mri) the physician is legally obligated to send you a copy within 15 days. You may be charged a reasonable processing fee and the cost of copying the images to a cd or dvd. If the physician's office is not cooperating with your request, you can file a written complaint with the medical board in your state. After receiving the copy of the breast MRI you may then show it to the consulting physician. You have a legal right to view any part of your medical record (including radiology studies). ...Read more
When is breast MRI recommended for breast cancer screening? Is it for the earlier stage or later stage
For high risk women: Yearlly breast MRI in addition to mammography is recommended for women with a 20-25% risk of breast cancer as determined by a lifetime risk calculator, for women who have the breast cancer gene, who had radiation to the chest for hodgekins disease between 10 & 30 years, sometimes for women who have been treated for breast cancer, and for women with a few rare syndromes. To detect cancer early. ...Read more
Is it likely that I have breast cancer if the doctors took a mammogram, then an ultrasound, then a breast mri?
Maybe: It is possibe that this could still be benign, it sounds like the docs are checking up on an abnormal mammogram finding. If it was highly suspicious, you would have already have had a biopsy. Hopefully you will get the results soon - get a biopsy if needed, or hopefully, be reassured that it looks ok and have appropriate follow-up scheduled. ...Read more
Had a breast MRI guided biopsy a year ago for fibroadenoma. Am experiencing pain in biopsy area. Is this normal? I am 58 with history of dcis.
The fibroadenoma: Could be causing pain, but you need to see your doc for an evaluation. Pain in the biopsy site that begins 1 year after the biopsy is not due to the biopsy. ...Read more
I had a breast MRI done cancer history. They saw a lump. They said its probity a benine lymphoid. More test needed. What is going on? Worried!
Benign lymph nodes: Are common incidental findings on MRI and other breast imaging studies. Sometimes another imaging study is needed to conclusively prove it, they may be fairly sure but not certain based on one study. If the ultrasound or mammo confirms it, nothing else needs to be done. ...Read more
Hello. I just had a breast Mri done and the results were prominent axial lymph nodes and 5mm and 7mm mass in each breast. Does this indicate cancer?
Impossible: To speculate without having the specific MRI features of the masses (e.g. shape, margins, enhancement pattern) to consider. The probability of a cancer depends on the presence or absence of certain features, some masses will have a less than 1 or 2% chance of being a cancer, others will have a very high chance. So, more information is needed. Do you have the report? ...Read more
Breast MRI (magnetic resonance imaging) is a test in which a person's breasts are scanned using a strong magnetic field, without x-rays. Breast MRI does not replace breast mammograms or ultrasound scans, but MRI used to verify suspicious findings on mammogram/ultrasound, or to screen very high risk women (with a strong family history of breast cancer), or to look ...Read more
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