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Doctor insights on: Mammogram Birads

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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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Dr. Barry Rosen
637 doctors shared insights

Mammogram (Definition)

A mammogram is the "gold standard" screening test for breast cancer. It's well established that yearly 'grams will DX cancers well before they are palpable, leading to earlier diagnoses and saved lives. All experts agree to begin yearly mammograms by age 50; many (including myself) believe the pro's outweigh the con's to begin at 40. Regrettably, less than half of all women ...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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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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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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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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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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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?

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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Are mammograms painful?

Are mammograms painful?

Yes but not for long: A woman's breast is squeezed as flat as possible for a couple seconds while the x ray is taken. It hurts, but it doesn't last long. Most women have no problem tolerating it. It shouldn't keep you from having it done if your doctor recommends it. ...Read more

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Are mammograms really completely safe?

Are mammograms really completely safe?

Mammo Safety: Very little in life is 'completely' safe.We make risk/benefit decisions all the time, without even being conscious of it.For example driving a car, or taking an antibiotic for an infection, carries some risk. With mammography, there is a minimal increased risk of radiation induced cancer. However, medical consensus is that the risk is far outweighed by the potential benefit of early Ca detection ...Read more

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