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Doctor insights on: Mammogram Film

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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

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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Would mammography or mammogram procedure hurt?

Would mammography or mammogram procedure hurt?

You're overdue : It may be somewhat uncomfortable but tolerable and well worth it. Mammography has decreased breast cancer mortality by up to 50%. If you get one every year rather than every other your chances of dying from breast cancer go down 30%. 20% of cancers are in women in their 40's. What have you been waiting for? ...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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Mammogram with punctate pleomorphic calcifications. Is that breast cancer?

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 shows Heterogeneously dense breasts Birads 2 Benign finding what does Heterogeneously dense breast mean? my dr wants a ultrasound is it needed?

Mammo shows Heterogeneously dense breasts Birads 2 Benign finding what does  Heterogeneously dense breast mean? my dr wants a ultrasound is it needed?

Uniform dense breast: In the young female the breast is extremely dense and consists of mostly breast tissue. With age, the breast tissue is dispersed with fatty tissue so that over 35yo mammo can be performed and one can visualize breast tissue. In some patients over 50 the mammo shows only sheets of dense breast tissue with no fat spread interstitially. Here a small lesion can only be detected by ultrasound. ...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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What does new asymmetrical density findings on a mammogram report mean?

What does new asymmetrical density  findings on a mammogram report  mean?

Needs Further Eval: Asymmetry implies that there may be an underlying tumor where the breast tissue is more prominent. The next step is to get a diagnostic mammogram +/- ultrasound to see if this is just a "shadow" or an abnormality that warrants a biopsy (these turn out to be shadows most of the time). Please discuss this further with the doctor that ordered your mammogram. ...Read more

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Mammo: focal asymmetry, sono: lipomas and adenopahies, surgeon recommend come back in 3 month, radiologist recommends mri:why?

Depends...: Depends upon radiologists degree of suspicion. It seems as if the radiologist wants to better evaluate the area of focal asymmetry, especially if there are no prior mammograms for comparative evaluation. Does the surgeon have any information which the radiologist does not? For a definitive pathological evaluation, a stereotactic core biopsy would give the best answer, without a diagnosis delay. ...Read more

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Mammogram yearly @ 65? Since 35, diagnostic, reg mam & ultrasound. Dx yrs ago fibrocystic. Punctuate calcifications both breasts. CT MRI 2xyr re CRC.

Mammogram yearly @ 65? Since 35,  diagnostic, reg mam & ultrasound. Dx yrs ago fibrocystic. Punctuate calcifications both breasts. CT MRI 2xyr re CRC.

Calcifications: Microcalcifications of the breasts are suspicious findings and usually require a minimally invasive breast biopsy. The majority of the biopsies will return a benign result but we can't assume that based on mammogram. MRI use in the US is very user dependent and should be reserved for high risk individuals or those with a proven cancer. ...Read more

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Magnified mammogram due to multiple calcifications?

Magnified mammogram due to multiple calcifications?

The size, shape,: and distribution of the microcalcifications is important in determining the level of suspicion. Specialized magnification mammograms use a smaller focal spot and smaller field of view. This increases the spatial resolution of the mammogram and increases the conspicuity of the calcifications, so the radiologist can more accurately evaluate these features. It is the standard of care for calcs. ...Read more

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Mammo shows asymmetry at superior in breast seen only on mlo view.Spot compression view reveals asymmetry dispersed into normal glandular tissue. ?

Mammo shows asymmetry at superior in breast seen only on mlo view.Spot compression view reveals asymmetry dispersed into normal glandular tissue. ?

Normal: Abnormal breast masses will not compress out but imaging artifact will. All imaging studies have a multitude of technical reasons why one single view could show something that really isn't there at all. Multiple views and other techniques like spot compression will tend to give a better picture of equivocal findings. ...Read more

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Will breast cancer show on an xray?

Will breast cancer show on an xray?

Mammogram: Mammogram is type of xray study specifically performed to detect breast cancer.Majority of cancers can be detected by this examination. Supplemental exams include ultrasound and mri. ...Read more

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What does it mean if a new focal asymmetry on screening mammogram "flattened into benign pattern" on diagnostic mammogram? I have very dense breasts.

What does it mean if a new focal asymmetry on screening mammogram "flattened into benign pattern" on diagnostic mammogram?  I have very dense breasts.

No abnormality: It generally means that the original appearance on the screening mammogram was due to a coincidental overlapping of normal breast structures, causing the false appearance of a possible abnormality. On the diagnostic images,the overlapping structures spread out and look normal again, proving that the original "abnormality" was not real. A true mass would not flatten or spread out on the diag mammo ...Read more

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Will breast cancer show up on an xray?

Will breast cancer show up on an xray?

Maybe: A mammogram is a special xray of your breasts and is very good at finding breast cancers. Screening mammography is recommended for women over 40 years old. see below Other xrays such as a chest xray do not detect breast cancers. http://www.radiologyinfo.org/en/info.cfm?pg=screening-breast ...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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Breast MRI effectiveness? Is a MRI the most effective breast imaging test?

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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Is breast density a risk factor for breast cancer? Mammogram noted "extremely dense breasts".

Is breast density a risk factor for breast cancer? Mammogram noted "extremely dense breasts".

Yes, breast density: is a risk factor for breast cancer. The relative risk for extremely dense breasts is about 4x the relative risk of patients with almost entirely fatty breasts, and about 1.6x the RR for "average" density breasts. Find out all you need to know at http://www.breastdensity.info/ ...Read more