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Doctor insights on: Mammogram Call Back Reasons

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I had my first mammogram and they called me back for an ultrasound. What could be the reason?

I had my first mammogram and they called me back for an ultrasound. What could be the reason?

Very common: Ultrasound is often used to evaluate densities seen on a mammogram. Most often a round density on a mammogram is a benign cyst or benign breast tumor called a fibroadenoma. If the ultrasound suggests an alternative diagnosis it can be used to guide biopsy. Basically it is a second test used to provide additional information. ...Read more

Dr. Barry Rosen
663 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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Mom mammogram done and has been asked to Come in for more images aday later. She has dense tissue in her earlier mammo. What's reason to call her again?

Mom mammogram done and has been asked to Come in for more images aday later. She has dense tissue in her earlier mammo. What's reason to call her again?

Additional imaging: To further evaluate a potential abnormality, or an area not clearly visualized, occurs in about 10% of all screening mammograms (and probably at least 15% of baselines). 80% of the time it turns out to be nothing of concern. Of the remainder that go to biopsy, 80% of those turn out benign. So the odds favor a benign etiology, but in a small percentage of cases there is a cancer. ...Read more

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What exactly does it mean when they call you back for another mammogram?

What exactly does it mean when they call you back for another mammogram?

Additional mammo: It means there is a possible abnormality present, but additional mammographic views are necessary to determine whether there is in fact an abnormality, or to better characterize an abnormality. Many times the additional mammo views show that there is nothing to worry about. ...Read more

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What does it mean when they call you back for another diagnostic mammogram?

What does it mean when they call you back for another diagnostic mammogram?

Additional mammo: It means there is a possible abnormality present, but additional mammographic views are necessary to determine whether there is in fact an abnormality, or to better characterize an abnormality. Many times the additional mammo views show that there is nothing to worry about. ...Read more

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I did a mammogram and was called back severally for a follow-up mamogram. Does it mean I have cancer? I am really scared.

I did a mammogram and was called back severally for a follow-up mamogram. Does it mean I have cancer? I am really scared.

Not exactly: It just means they see some irregularity and want to get some compression views. If additional imaging shows an abnormality, an ultrasound may be done. This is a lot more common given digital mammography. We are seeing a lot more detail and a lot of the time it is benign. Hope this helps. ...Read more

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I recently had a mammogram done. I got a call back to come in for a ultrasound. Assyterim density. Recently 9 months out bariatric. 70 pounds lost?

I recently had a mammogram done. I got a call back to come in for a ultrasound. Assyterim density. Recently 9 months out bariatric. 70 pounds lost?

Weight loss: Can cause mammographic changes due to fat loss and resultant relative increase in breast density. What did the ultrasound show? If it cannot be determined whether the mammographic changes are due to weight loss, additional imaging with MRI or needle biopsy may be necessary to completely evaluate the asymmetry. Mammographic developing asymmetries have about a 10% chance of malignancy. ...Read more

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At today's mammogram, the tech mentioned I had high density in my breast and not to be surprised if I get a call to come back. Should I be concerned?

At today's mammogram, the tech mentioned I had high density in my breast and not to be surprised if I get a call to come back. Should I be concerned?

Common finding: Women in their 30s and 40s tend to have denser breast tissue. As such, it makes it more challenging for the radiologists to interpret. Often times, women are asked to come back so they can take more views and make sure they are not overlooking anything. It is not a cause for concern. ...Read more

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Is it likely that this is breast cancer if they call you back for x-rays after a mammogram?

Is it likely that this is breast cancer if they call you back for x-rays after a mammogram?

No....: It is more likely that you are fine. Depending on the center you are seen at, recall rates vary from 1 in 20 to 1 in 10. Of those recalled, approximately 15% will need biopsy and of those biopsied 20% will be cancer. These numbers are from research studies and may not reflect the performance of your local mammography center. ...Read more

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My mom had breast cancer, I'm 39 and I just had a mammogram and breast ultrasound and got called back to my doctor, should I be worried?

My mom had breast cancer, I'm 39 and I just had a mammogram and breast ultrasound and got called back to my doctor, should I be worried?

No just follow-up: You had a screening mammogram. This test is designed to determine if your mammogram is normal or abnormal. An abnormal mammogram does not mean you have breast cancer. You can have a fibroadenoma, a breast cyst or other benign breast condition which are much more common than breast cancer. The next step if the screening mammogram is abnormal is to perform a diagnostic mammogram of the area. ...Read more

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Instead of having a mammogram I have to have ultra sounds. What could be the reason for this?

Instead of having a mammogram I have to have ultra sounds. What could be the reason for this?

Uncertain: Screening mammography is currently the standard of care, even in women with dense breasts. I am not sure of the reason you would have been told to have ultrasounds instead of mammograms. Best to speak with your doctor. ...Read more

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Hello! If there is an abnormal. Finding in a mammogram. Will they call u rigjt away? Soon? Or will still have to. Wait for v results inthe mail?

Hello! If there is an abnormal. Finding in a mammogram. Will they call u rigjt away? Soon? Or will still have to. Wait for v results inthe mail?

Mammo results: If there is an abnormality they should call you within a few days, but if you are worried you don't have to wait...call your doctor's office and ask about the results. ...Read more

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60yo mom's mammogram found an irregular shaped, enlarged, non-fatty lymph node near breast. Any reason not cancer related? 4 masses in right breast only too

60yo mom's mammogram found an irregular shaped, enlarged, non-fatty lymph node near breast. Any reason not cancer related? 4 masses in right breast only too

Breast lump: There are other possible causes but a biopsy is necessary to make the diagnosis and get proper treatment underway. Even breast cancer has a high success rate for response in most cases, especially after menopause. ...Read more

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Why would a radiologist have the hospital call me 24 hours after my mammogram to request that I come in for an ultrasound asap?

Why would a radiologist have the hospital call me 24 hours after my mammogram to request that I come in for an ultrasound asap?

The radiologist: Saw something that needs further characterization, possibly a mass or potential cyst. Usually these turn out to be nothing of concern, but sometimes not. ...Read more

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I have a painful, golf ball sized mass in my upper right breast. I have not had a mammogram in two years. Who should I call first?

I have a painful, golf ball sized mass in my upper right breast. I have not had a mammogram in two years. Who should I call first?

Your PCP: Start with your primary care provider. S/he should be able to evaluate the lesions and may prescribe treatment if it could be infection, and then decide on the course of action. ...Read more

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I just had my first mammogram at 51. I received a call asking me to come in for more films. Should I be concerned? They asked me if I used a cane, crutches or walker? Why? Also I only need my left breast re-examined? I am concerned about cancer

I just had my first mammogram at 51. I received a call asking me to come in for more films. Should I be concerned? They asked me if I used a cane, crutches or walker? Why? Also I only need my left breast re-examined? I am concerned about cancer

Do: Do not be worried yet, but do go back for more films as requested. Sometimes additional images of one breast are needed because an area could not be fully examined on the standard images. Most of the time these extra views do clear things up and confirm that nothing is there. This doesn't mean that you will get called back for extra images with every mammo in the future.
They usually ask about crutches, walker, or wheelchair in case they have to do something different to get the mammograms; most of the time women stand at the machine and this might not be possible for someone needing a device to help them stand. ...Read more

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Mammagram came back suggested further evaluation. Mamagram in sept of last year was negative. Dr found lump but didn't show on mamagram is that reason?

Mammagram came back suggested further evaluation. Mamagram in sept of last year was negative. Dr found lump but didn't show on mamagram is that reason?

Maybe: The mammographic questionable finding may or may not be related to what your doctor felt. When you back for your diagnostic mammo show them where the palpable finding is so the radiologist can correlate with the mammo. ...Read more

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I had a mammagram done and results said there is a density in r breast at 12:00 called back for a dignastic mam. It was compared to last years.

I had a mammagram done and results said there is a density in r breast at 12:00 called back for a dignastic mam. It was compared to last years.

Do call back: A screening mammogram is done yearly in asymptomatic women. If there is an abnormality seen (a density or mass, ect), then the next step is a diagnositc mammogram where they will put the focus on the abnormality. If the density or mass is confirmed, an ultrasound guided biopsy of the mass will be performed to evaluate whether the mass contains cancer. You do need to have a diagnostic mammogram. ...Read more

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I have heterogenous breast and a density showed up on mam called back for diag mammagram mother had breast cancer and they compared it to last year?

I have heterogenous breast and a density showed up on mam called back for diag mammagram mother had breast cancer and they compared it to last year?

Good!: Many times with an abnormal mammogram the radiologists will compare it to previous mammograms. They may also do a breast sonogram. Finally, if there is some change, they may decide to do a biopsy. That is the normal order of evaluation. ...Read more

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What can be the reason why everytime I stand up and sit my low low back is painful. In afrikaans its called "stuitjie"?

What can be the reason why everytime I stand up and sit my low low back is painful. In afrikaans its called "stuitjie"?

More Info needed: This sounds like transition pain. Different areas of the spine are engaged with different positions and motions. Going from sitting to standing engages the small joints in the back which can cause pain. A good history and exam can usually get the right diagnosis. ...Read more

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Is a pap test reason for a call back?

Is a pap test reason for a call back?

If it is abnormal: U will get a call or some docs call you to let u know it is normal if I am understanding yiour? Correctly. ...Read more

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I have a rock solid lump on the back of my head above my neck. I have reason to believe it's what's called an external occipital protuberance.?

I have a rock solid lump on the back of my head above my neck. I have reason to believe it's what's called an external occipital protuberance.?

Lump: If that is what you have, you have always had it because a normal part of our head. Nothing to worry about. If this is new and you've never felt it before, have it checked out ...Read more

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Mammagram was normal and ultrasound showed abnormality and was told I need a biopsy asap. And I need to call my dr immediately. Should I be worried?

Mammagram was normal and ultrasound showed abnormality and was told I need a biopsy asap. And I need to call my dr immediately. Should I be worried?

The abnormality: On the ultrasound is not negated because it was not seen on mammo. It is normal to be concerned because obviously the radiologist thought there was something suspicious on the ultrasound. However, about 70-80% of the time the biopsy will turn out benign, so the odds are in your favor.. ...Read more

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How common for the first mammogram to come back abnormal?

How common for the first mammogram to come back abnormal?

Abnormal baseline: A recent large study found that the overall percentage of recalls (extra views) for nonbaseline mammograms was 11.5% (range, 9.6 %-24.9%), and the overall percentage of recalls for baseline exams was almost three times as high, at 28.4% (range, 18.4%-60.3%).

Biopsy recommendations following diagnostic workups were also greater for baseline (5.2%) than nonbaseline (1.8%) exams. ...Read more

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Do I have to go back in 6 months if a cyst shows up on my mammogram?

Do I have to go back in 6 months if a cyst shows up on my mammogram?

Maybe: If a cyst shows up on mammogram and nothing is suggested but repeat films the interpretation is benign. Using a sonogram, the cyst fluid should be defined and aspiration performed. If the fluid is then removed a repeat mammogram in 1 year is fine. If fluid cant be aspirated then a follow up should probably be performed and the cyst is found to be larger or has resolved. ...Read more

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I just had a mammogram. I am only 41. Technician saw micro calcifications. Am I too young to have this? Will I need to go back in 6 months if benign

Breast: Calcifications are common and have many causes, most benign. It is not appropriate for the technologist to comment on findings like microcalcifications. Depending on the number, size, shape, and distribution of the calcs (likely following additional magnification views), the radiologist will determine whether they are benign and can be ignored, need short interval followup, or need biopsy. ...Read more

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Help! Need to know if there's a reason why they call haldol (haloperidol) a "nasty drug"?

Help! Need to know if there's a reason why they call haldol (haloperidol) a "nasty drug"?

Haldol (haloperidol): Haldol or haloperidol is a drug used primarily to treat psychosis. It has been used for decades and remains an effective drug for a variety of medical conditions. There are many potential side effects including tardive dyskinesia and the symptoms increase with increasing dosages. Discuss with your medical doctor the benefits, risks and alternative options to haldol. ...Read more

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Please tell me how long it takes for to get mammogram results back?

Please tell me how long it takes for to get mammogram results back?

Mammo results: The legal requirement of the Mammography Quality Standards Act (MQSA) is that you receive a results letter within 30 days. Most often patients will hear from their doctor much sooner. If you are very worried, call your doctors office for results. Typically the report should be available within a couple of days. ...Read more