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Doctor insights on: Breast Mri Shows Lesion And White Spots

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Had breast MRI and there is a white spot. What could it be?

Had breast MRI and there is a white spot. What could it be?

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

Dr. Scott Keith
5 Doctors shared insights

Mri (Definition)

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


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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?

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?

Not necessary: It is unlikely the pain in your back is related to your breasts as long as other tests were normal. Hope the MRI of the spine was your neck. If not you might consider that. But you should talk to your doctors ad always to help find the cause ...Read more

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Will affected lymph nodes show up on a bilateral breast mri?

Will affected lymph nodes show up on a bilateral breast mri?

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

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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?

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

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Are all breast lesions showing enhancement with wash out seen on breast MRI malignant?

Are all breast lesions showing enhancement with wash out seen on breast MRI malignant?

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

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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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Dimple, and linear calcifications in breast. MRI set for Mon. Morning. What will the MRI show, as opposed to mammogram and ultrasound?

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

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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

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

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Do you get the results of a breast MRI immediately?

Do you get the results of a breast MRI immediately?

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

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Does a bilateral breast mri's also see if lymph nodes are ok?

Does a bilateral breast mri's also see if lymph nodes are ok?

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

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Is it true that a breast MRI can pick up problems in other parts of the body such as the kidneys?

Is it true that a breast MRI can pick up problems in other parts of the body such as the kidneys?

No: Breast MRI evaluates only the breast tissue (and the very close by chest wall) and is not capable of imaging any other part of the body. ...Read more

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Can a breast MRI miss breast cancer?

Can a breast MRI miss breast cancer?

Yes, it is: More than 90% sensitive for most cancers, but no test is 100%. ...Read more

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How is a breast MRI typically performed?

How is a breast MRI typically performed?

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

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Already diagnosed w/StageIV IDC. Breast MRI suggests Inflamatory BC. Is that possible?

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

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What do hyperintense signals in breast MRI mean?

What do hyperintense signals in breast MRI mean?

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

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Could you tell me what are hyperintense signals in breast mri?

Could you tell me what are hyperintense signals in breast mri?

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

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Can you tell me the difference between breast MRI and mammography?

Can you tell me the difference between breast MRI and mammography?

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

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How many days should I wait to hear results from my breast MRI with contrast? 4/26/13, results faxed 4/29&4/30.

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

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Classification of bi-rad3 on breast mri. With a bi-rad3 and high risk, is a biopsy suggested?

Classification of bi-rad3 on breast mri. With a bi-rad3 and high risk, is a biopsy suggested?

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

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Hi. What does this statement on a bilateral breast MRI suggest? "Heterogeneous signal abnormalities within the sternum." Should I be worried?

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

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Breast Mri VAB biopsy of regional non mass hetrogeneous enhancement is benign breast tissue 2nd rad opinion wrong area biopsied what to do. Scared?

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

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Why would a breast MRI be recommended when you have breast cancer?

Why would a breast MRI be recommended when you have breast cancer?

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

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Does a breast MRI hurt?

Does a breast MRI hurt?

Maybe uncomfortable: I have had a breast MRI and the procedure was not painful. It was slightly uncomfortable because you are face down with your breasts in a hole. You will have an IV placed in order to get the contrast.
All in all, it was not bad. ...Read more

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How accurate are breast mri's?

How accurate are breast mri's?

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

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How can I find breast MRI facility?

How can I find breast MRI facility?

Ask your doctor: Bmris are primarily indicated for "in breast" staging of newly diagnosed patients and screening of high risk patients. In both cases, there is likely indication for involvement of a breast surgeon who will know who does good quality breast MRI imaging in your area. ...Read more

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Should I start worrying if dr ordered breast mri?

Should I start worrying if dr ordered breast mri?

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

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Breast MRI effectiveness? Is a MRI the most effective breast imaging test?

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

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Could usual hyperplasia be mistaken for duct ectasia on a breast MRI?

Could usual hyperplasia be mistaken for duct ectasia on a breast MRI?

No,: "usual hyperplasia" is a histologic diagnosis made by a pathologist looking at tissue under a microscope. It cannot be identified as such on MRI or any other imaging study. "Duct ectasia" means duct dilatation and can be identified on MRI. ...Read more

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I just had a breast MRI and the results were: left breast 2-5mm benign intraparenchymal lymph nodes. What does this mean?

No worries.: Lymph nodes are present throughout the breast, especially near the armpit. An MRI is a very sensitive test for evaluating breast abnormalities, including lymph nodes in the breast and armpit. The fact that they look benign would favor no further testing. ...Read more

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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

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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

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

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When is breast MRI recommended for breast cancer screening? Is it for the earlier stage or later stage

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

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Is it likely that I have breast cancer if the doctors took a mammogram, then an ultrasound, then a breast mri?

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

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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

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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!

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

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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?

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

Dr. Michael Gabor
127 Doctors shared insights

Mri Of Breast (Definition)

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


Dr. Scott Bolhack
802 Doctors shared insights

Wounds (Definition)

Wound = injury to tissue. May include ...Read more