Breast ultrasound
Hello Doctor: Last year, after I had a breast ultrasound, the doctor did not mention any specific issues and said to just follow up regularly.
This year, during my visit to the obstetrician-gynecologist, the doctor arranged for another ultrasound, but he did not discuss the report with me afterward.
I would like to ask if you could help me review my breast ultrasound report to see if there are any issues and whether I need to return for a follow-up.
Thank you! Below is the report content:
Impression:
1.
Nodular lesions in both breasts in favor of benign nature.
2.
Bilateral breast cysts.
Breast sonography shows:
This study is compared with the previous breast sonogram performed on 2021-10-22.
- Right breast:
- 2 cystic lesions: 11.2 x 3.9 mm; stable lesion appearance.
- 3.4 mm cyst.
- 8.8 mm cyst.
- 6.3 mm cyst.
- 23.5 x 6.0 mm cluster of cysts; minimal increase in size with otherwise stable lesion appearance.
- Left breast:
- 3.3 mm cyst.
- 3.6 mm cyst.
- 11.3 mm cyst.
- 16.0 x 5.4 mm hypoechoic nodule; suspicious for fibroadenoma?
- 9.6 mm cyst; 6.6 mm cyst.
BI-RADS category:
- Right: Category 3, probably benign, suggest 6 months follow-up.
- Left: Category 3, probably benign, suggest 6 months follow-up.
Niming, 20~29 year old female. Ask Date: 2022/10/17
Dr. Yuan Tianmin reply Breast and Thyroid
According to the report, there are currently no suspicious findings; however, a follow-up breast ultrasound should be performed in six months.
Reply Date: 2022/10/17
More Info
Understanding your breast ultrasound report is crucial for your peace of mind and ongoing health management. Based on the report you provided, there are several key points to consider regarding your breast health and the recommended follow-up.
Key Findings from Your Report
1. Nodular Lesions: The report indicates that there are nodular lesions in both breasts that are likely benign. This is a reassuring finding, as benign lesions are typically non-cancerous and do not pose a significant health risk.
2. Bilateral Breast Cysts: The presence of bilateral breast cysts is also noted. Cysts are fluid-filled sacs that are common in breast tissue and are usually benign. The report specifies various cyst sizes, with some being stable and others showing minimal increase in size compared to previous examinations.
3. BI-RADS Category: Your report assigns a BI-RADS category of 3 to both breasts, which means that the findings are probably benign. The recommendation for follow-up in six months is standard practice for this category, as it allows for monitoring any changes in the lesions over time.
Recommendations for Follow-Up
Given the findings of your ultrasound report, here are some recommendations:
- Schedule a Follow-Up Appointment: It is advisable to schedule a follow-up ultrasound in six months as suggested in your report. This will help monitor the cysts and any changes in the nodular lesions. Regular follow-ups are essential for early detection of any potential issues.
- Self-Examination: Continue to perform regular breast self-examinations. Familiarize yourself with the normal feel of your breasts so that you can detect any unusual changes, such as new lumps or changes in size or shape. If you notice anything concerning, contact your healthcare provider promptly.
- Consult Your Doctor: If you have any concerns or questions about your report or the recommended follow-up, do not hesitate to reach out to your healthcare provider. They can provide clarity on the findings and discuss any further steps if necessary.
Understanding BI-RADS Categories
The BI-RADS (Breast Imaging Reporting and Data System) is a standardized system used by radiologists to categorize breast imaging findings. Here’s a brief overview of the categories:
- Category 1: Negative – No findings.
- Category 2: Benign – Non-cancerous findings.
- Category 3: Probably benign – Follow-up in 6 months is recommended.
- Category 4: Suspicious abnormality – Biopsy may be needed.
- Category 5: Highly suggestive of malignancy – Appropriate action should be taken.
Your report falls under Category 3, which is reassuring but still requires monitoring to ensure that no changes occur.
Conclusion
In summary, your breast ultrasound report indicates benign findings, and the recommendation for a follow-up in six months is standard for monitoring purposes. It is essential to stay proactive about your breast health by scheduling follow-ups, performing self-examinations, and maintaining open communication with your healthcare provider. If you have any further questions or concerns, don’t hesitate to ask your doctor for more information. Your health and peace of mind are paramount, and staying informed is a crucial part of managing your well-being.
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