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Doctor insights on: Ultrasound Breast Mammogram

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Dr. Michael Gabor
2,275 Doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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What is the value of a breast ultrasound vs mammogram?

What is the value of a breast ultrasound vs mammogram?

Important info: The mammogram (mg) and ultrasound (us) show breast tissue in different ways. The mg is better for women with fatty breasts. The us can help tell if a mass is solid or cystic (fluid filled). It can also give a better picture for women who have dense breasts. The tests are often used together to help determine what is going on. ...Read more

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Can I find out if a breast cyst / tumor is malignant through a breast ultrasound and mammogram?

Can I find out if a breast cyst / tumor is malignant through a breast ultrasound and mammogram?

Sometimes.: There are lesions that can be determined with a high level of assurance to be benign and lesions that can be determined to be malignant. There are also many lesions that cannot be determined with a high degree of certainty with these sstudies alone. ...Read more

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What is the difference between a breast ultrasound and a mammogram?

What is the difference between a breast ultrasound and a mammogram?

Sound vs xrays: Mammograms use xrays to image the breast tissue. Screening mmgs involve 2 views (mlo, cc) of each whole breast. Ultrasound uses sound waves to produce images of the breast tissue. The area visualized is dependent upon where the probe is placed on the breast and is influenced by how it is angled, how fast it is moved around and how much attention is being paid to the screen during the exam. ...Read more

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What is the difference between an breast ultrasound and a mammogram?

What is the difference between an breast ultrasound and a mammogram?

Mammogram/Ultrasound: The mammogram (mg) and ultrasound (us) show breast tissue in different ways. The mg is better for women with fatty breasts. The us can help tell if a mass is solid or cystic (fluid filled). It can also give a better picture for women who have dense breasts. The tests are often used together to help determine what is going on. ...Read more

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What is the difference between an ultrasound of breast and a mammogram?

What is the difference between an ultrasound of breast and a mammogram?

Sonar vs Xray: Breast ultrasound use sound waves (i.e. Sonar) and are used to determine if a lump is solid, (usually require biopsy) or a cyst (a fluid containing lesion, usually not requiring biopsy). Mammograms also detect tumors in the breast and have the advantage of detecting tiny calcification deposits that my be due to cancer. Both tests work together to find breast cancer. No test replaces the other. ...Read more

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Why do a breast ultrasound after a mammogram? Does it mean there’s something abnormal in my breast, or was the mammogram just not clear? My doctor won’t talk to me until after the ultrasound, but i’m worried now.

Why do a breast ultrasound after a mammogram? Does it mean there’s something abnormal in my breast, or was the mammogram just not clear? My doctor won’t talk to me until after the ultrasound, but i’m worried now.

It means that: There was an abnormality or potential abnormality on the mammogram that required additional evaluation or confirmation with ultrasound. Or, if you have dense breasts, screening ultrasound may be performed as an adjunct test even if the mammo shows no abnormality. ...Read more

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Have bilateral breast tenderness for six months. Getting ultrasound and mammogram. Is breast cancer the primary concern with these symptoms.

Have bilateral breast tenderness for six months. Getting ultrasound and mammogram. Is breast cancer the primary concern with these symptoms.

More like Gynecomast: Breast cancer is typically not tender and is not likely to be bilateral in a male patient (does happen in female breast cancer but it is very rare). ...Read more

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Does an ultrasound of the breast mean I don't have to take a mammogram?

Does an ultrasound of the breast mean I don't have to take a mammogram?

No: Ultrasound is used to further define mammographic findings. It is not a substitute for the mammogram. ...Read more

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My mammogram and ultrasound all turned out negative but right breast still hurts like crazy. What do I do?

See your doctor for: Ask your doctor for help. You will benefit from a pain medication like tylenol (acetaminophen) to start with. In case you have fibrocystic condition in your breast, Danazol is one medication which can help. But you should see a doctor or an expert who deals with breast diseases. ...Read more

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I'm 28 and did ultrasound to my breasts. Dr. suggested mammogram as he found an irregular shape in my right breast. Is it helpful though I'm too young?

I'm 28 and did ultrasound to my breasts. Dr. suggested mammogram as he found an irregular shape in my right breast. Is it helpful though I'm too young?

It may be helpful: To correlate the mammographic appearance with the ultrasound appearance. Further characterization of the abnormality could increase specificity and alter management. ...Read more

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I had a mammogram n they found lumps then I had an ultrasound of my breasts n only found mass tissue that wasn't cancerous can tje mass tissue turn int?

I had a mammogram n they found lumps then I had an ultrasound of my breasts n only found mass tissue that wasn't cancerous can tje mass tissue turn int?

Unlikely need tests: At 44 yes have to be concerned, if you have any abnormality, will need close observation. Most likely you have thick dense breast tissue, if you have lumps and masses one will feel them which you don't have, you have densities by xray only. Speak to your md will advise you if need MRI of breasts or even core needle biopsy of the area, don't forget to go for follow up visits. Good luck. ...Read more

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Why do I need mammogram and a breast ultrasound?

Why do I need mammogram and a breast ultrasound?

Both are helpful: Mammograms use x-ray technique and are better at detecting tiny calcium deposits that may signal an early breast cancer than ultrasound. Mammograms can also detect tumors. Ultrasound uses soundwaves, like sonar, and will help determine if a lump is solid (requiring biopsy) or a cyst (fluid filled & usually not cancer). Both tests work together to find breast cancer. ...Read more

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Is breast ultrasound as effective as a mammogram?

Is breast ultrasound as effective as a mammogram?

No: There are 3 mainstream modalities of breast imaging - mammogram, ultrasound and breast mri. Each of these has its strengths and weaknesses.

Mammogram is used as a screening tool for all women in the us because it gives the best overall picture. The ultrasound is most commonly used to help discern between a cyst and a solid lesion. ...Read more

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I go soon for an diagnostic mammogram. Will I need a breast ultrasound?

I go soon for an diagnostic mammogram. Will I need a breast ultrasound?

Possibly....: If you had the diagnostic mammogram for something you can feel, like a lump, then you will almost certainly need an ultrasound. If you were called back for calcifcations, you most likely will not need an ultrasound. If a mass was seen on the mammogram, that you cannot feel, you will also need an ultrasound. ...Read more

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What to do if I had a mammogram and a breast ultrasound today, why does it take 3-5 days to know results?

What to do if I had a mammogram and a breast ultrasound today, why does it take 3-5 days to know results?

Usually: A diagnostic mammo/US is interpreted on the same day. The logistics of every facility are a little different, not sure why it would take 3-5 days for results. If you don't want to wait, you can try calling and asking about the results. ...Read more

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Is it possible for gallbladder problems to cause a heaviness in right breast deep in chest? Mammogram ok. Ultrasound ok

Is it possible for gallbladder problems to cause a heaviness in right breast deep in chest? Mammogram ok. Ultrasound ok

Various causes: Were the gall bladder and liver normal on u/s? Have you had a chest xray? You could have a hiatus hernia or rib cage strain. Is the area tender? Does movement aggravate the discomfort? Is the pain ever sharp like a pinched nerve? Are there belching and indigestion symptoms? These questions and answers will help your physician diagnose the problem. ...Read more

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Having pain in my left breast. I go for 6 months follow up mammogram and ultrasound. Next month. Should I be concerned? Thank u..

Having pain in my left breast. I go for 6 months follow up mammogram and ultrasound. Next month. Should I be concerned? Thank u..

No: Tumors of the breast are essentially unrelated to pain. If self exam used with no mass felt, pain is not of concern. Rather a mammo is important at age 43 in order to detect early premalignant changes associated with DCIS which if detected is easily cured by wide resection. Keep appointment and don't expect that anyting will be found on the exam. ...Read more

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How accurate would 3 previous ultrasounds and mammograms in the space of 5 years be on a simple breast cyst? Could that diagnosis be wrong?

How accurate would 3 previous ultrasounds and mammograms in the space of 5 years be on a simple breast cyst? Could that diagnosis be wrong?

Room for error: Any diagnostic medical test has room for error. The best diagnostic tool for a perceived breast cyst is fine needle aspiration/biopsy by a MD. ...Read more

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I have to go for an ultrasound cause of my mammogram, my breasts sometimes hurts, is it more likely to be cysts? Just got a job and don't want it ruine

I have to go for an ultrasound cause of my mammogram, my breasts sometimes hurts, is it more likely to be cysts? Just got a job and don't want it ruine

Whether or not: It is likely to be a cyst depends in part on the mammographic appearance. Even if it is not a cyst, it doesn't mean you have cancer. Most mammo abnormalities turn out to be benign. ...Read more

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69'yr old male had bilteral breast ultrasound. Waited while dr. Reviewed images. Ordered immediate mammograms. Does this mean problem? Very nervous

69'yr old male had bilteral breast ultrasound. Waited while dr. Reviewed images. Ordered immediate mammograms. Does this mean problem? Very nervous

Not necessarily: It means the radiologist is a thorough fellow who wants to be sure of what he/she is seeing because someone's health is resting on his/her hands. Take it easy and wait for the results. I realize it's easier said than done but do your best. Good luck. ...Read more

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I was told no ultra sound needed for breast density this time my density is gone. Is this possible. I have had ultrasound & mammogram for several yr?

If you are referring: To screening ultrasound in the setting of mammographically dense breasts, it is certainly possible that breasts can become less dense for various reasons (e.g. hormonal changes, aging, weight gain), and if they are no longer categorized as "dense", then the adjunct screening ultrasound would no longer be indicated. ...Read more

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Hi I started having issues awhile back with both breast and rafiating pai. Under both armpits Had mammogram and. Ultrasound done both came out fine. B?

Breast pain: breast pain could be caused by different factors- from the hormonal, cystic breasts, musculoskeletal, etc. I am happy to know that your mammo and US are fine. Breast pain is not a very common symptoms related to breast cancer. Some food/beverages- such as caffeinated beverages, chocolate, mint, could contribute to breast pain. Try to avoid those food/drinks and follow up with your doc definitely. ...Read more

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Misdiagnosis with breast ultrasound? Is it possible to have differing results from an ultrasound and a mammogram? In my case, the mammogram didn't show anything but an ultrasound did. Which method is usually more reliable and how does this happen?

Misdiagnosis with breast ultrasound? Is it possible to have differing results from an ultrasound and a mammogram? In my case, the mammogram didn't show anything but an ultrasound did. Which method is usually more reliable and how does this happen?

They are: Complementary tests, imaging different tissue characteristics. It is not unusual for an abnormality to be seen on one and not the other. If you have dense breasts, it is especially true that an ultrasound abnormality may be invisible on mammo due to the density. Not seeing it on both does not negate a finding on one. ...Read more

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How does a mammogram differ from an ultrasound in diagnosing breast lumps?

How does a mammogram differ from an ultrasound in diagnosing breast lumps?

Xrays - sound waves: Mammography uses x rays to image the breast and ultrasound uses sound waves. Mammography is more sensitive to picking up cancers but does involve small doses of radiation. Us has no side effects, but is not nearly as sensitive in picking up small cancers. Us is best use to characterise a problem that is picked up on examination (or by the patient) or mammo. Very good for determining cyst vs. Solid. ...Read more

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I had a mammogram and ultrasound recently the outcome was negative but dense (cyst) breast. Should I be concern?

I had a mammogram and ultrasound recently the outcome was negative but dense (cyst) breast. Should I be concern?

See Breast surgeon: Fibrocystic or dense breasts are common in women. If strong family history or positive brca gene then close monitoring and follow-up examinations will be required. Otherwise continue with yearly mammogram/ultrasound. See your breast surgeon if any concerns. ...Read more

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Ultrasound showed benign cysts on breast. Will they go away? Any idea why they didn't show up on mammogram only ultrasound?

Ultrasound showed benign cysts on breast. Will they go away? Any idea why they didn't show up on mammogram only ultrasound?

They may go away.: Benign cysts may enlarge or resolve or stay the same for years. Some say that eliminating caffeine from your diet may help. If the cysts are painful, needle aspiration may be curative, but otherwise nothing needs to be done. Cysts may be invisible on a mammogram when the breast is dense (glandular) and the cysts are hidden by adjacent normal tissue or if they are small. They do not become cancer. ...Read more

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Mammogram indicates bi-rads 3, and being followed every 6 months due to fibrocystic breasts. Do you have to repeat ultrasound also?

It depends.: The 6 month follow up recommendation could mean mammogram or mammogram/ultrasound. The report should specify. Either one could conceivably be appropriate depending on the circumstances. If the lesion was seen on ultrasound, chances are ultrasound will also be done as follow up. ...Read more

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How to perform self examination on large breast? How to differentiate lumps in breast? Is it better to get mammogram/ultrasound? 25 years old, 40D.

Self exam: Try this link:

http://www. Breastcancer. Org/symptoms/testing/types/self_exam/bse_steps

Mammo screening should start at age 40, possibly earlier if you are at higher risk. Talk to your doctor about it. ...Read more

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Had mammogram and ultrasound that confirmed tiny cysts in breasts. They are still there. What do I do now? Doctor missed one of them. I can feel both

Had mammogram and ultrasound that confirmed tiny cysts in breasts. They are still there. What do I do now? Doctor missed one of them. I can feel both

Need reevaluation: Breast cysts are almost always benign. If they are syptomatic or in case of any doubt about their cystic nature they can be aspirated. Otherwise observation is ok. If you feel a lump and your provider did not identify it, do not assume it is a cyst. Have another evaluation preferably by a breast specialist to make sure it is not a more significant lump. ...Read more

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I have two lumps on r. Lower breast so I had a mammogram and ultrasound where they confirmed the lumps but not much breast tissue. Is there concern?

It depends: It all depends on what the lumps looked like on mammo and ultrasound. They could have benign features, or suspicious features. No way to tell without further information. ...Read more

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Should I be seeking a second opinion when the radiologist stated an area on my baseline breast scan to be within normal tissue after a repeat mammogram and ultrasound? He would like to see me again in 6 months to compare scans.

Should I be seeking a second opinion when the radiologist stated an area on my baseline breast scan to be within normal tissue after a repeat mammogram and ultrasound? He would like to see me again in 6 months to compare scans.

Check with your Doc: A mammogram is a screening tool & an ultrasound and magnified views of a breast area would have given the radiologist more information. If no concerning areas are found, your doc has to correlate your risk factors with your clinical exam to decide if a repeat in 6 months is appropriate. Do this first & if still concerned, then feel free to seek a second opinion. Take good care of yourself. ...Read more

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I get annual mammograms but don't do a monthly exam as my breasts are lumpy. Would an ultrasound be useful? Should I be checking them monthly?

I get annual mammograms but don't do a monthly exam as my breasts are lumpy. Would an ultrasound be useful? Should I be checking them monthly?

Yes: Breast self exams are useful, especially with lumpy breasts. Ultrasound may demonstrate cysts which may help rule out a solid mass. ...Read more

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How come I have a large breast lump but mammogram and ultrasound show nothing?

How come I have a large breast lump but mammogram and ultrasound show nothing?

Lump: Mammography and ultrasound are not 100% sensitive. However, if you have a large palpable lump it would be unlikely that both tests would be normal if it was a large cancer. It is probably normal tissue, but a clinically palpable mass shouldn't be ignored if it feels suspicious. MRI may help in this situation, or you may need biopsy. Talk to your doc about next steps. ...Read more

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Mammogram and ultrasound found 3cm oblong lump in left breast what is my next step what's it mean?

Mammogram and ultrasound found 3cm oblong lump in left breast what is my next step what's it mean?

Possible biopsy: Your doctor will refer you for biopsy of the lump given its size. This is typically done using a needle & ultrasound with numbing medication injected into the breast while you are awake. This will provide information as to what this lump is; if it is something serious like cancer, then you will be referred to a surgeon and an oncologist for treatment. Given the size I believe biopsy is necessary ...Read more

Dr. Barry Rosen
664 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