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  • MRI Breast Bilateral

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    Old 12-24-2009, 09:01 AM   #1
    Chahid181
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    MRI Breast Bilateral

    I'm 47 yr old woman and just had a MRI Breast done. Dont understand there are a lot of things going on. The doctor tells me just to follow up in a yr. Should I seek a second opionion? Thank you. Please read below the findings:

    TECHNIQUE: Axial pre- and dynamic post-contrast T1-weighted fat
    saturation sequences were performed as well as sagittal T2, axial
    T2 fat saturation, body coil coronal STIR and coronal
    postcontrast T1-weighted sequences with fat saturation. 3-D and
    2-D reconstructions were performed. The images were evaluated
    with CADstream software.

    FINDINGS:
    The breast parenchyma is heterogeneously dense.

    Corresponding to the mammographic asymmetry in the far posterior
    central left breast, approximately 14 cm from the nipple, a 1 cm
    area of asymmetric
    tissue does not demonstrate abnormal enhancement. This area
    demonstrates concave margins and is morphologically similar in
    appearance to normal appearing glandular tissue.

    In the far upper-outer left breast, 16 cm from the nipple, 2
    morphologically normal appearing lymph nodes are not
    pathologically enlarged, each measuring 9 mm. They demonstrate
    normal fatty hila.

    Scattered throughout the central left breast, 4 tiny foci of
    stippled enhancement measuring 1 to 2 mm are nonspecific but may
    represent small foci of adenosis or fibrocystic change. For foci
    of this size, enhancement kinetic features may not be useful.
    These are asymmetric in number as compared to the right breast.
    These foci are best seen on image 55, 46, 90 and 116 on the cad
    angiomap.

    Tiny scattered hyperintense T1 foci less than 5 mm in diameter
    seen in both breasts are consistent with normal appearing
    scattered glandular
    elements. Additionally, subcentimeter nonenhancing T2
    hyperintense foci less than 5 mm in diameter seen in the left
    greater than right breast are consistent with small cysts. At
    least 2 these are seen in the 2:00 position in the left breast,
    which likely correspond to the ultrasound findings of cysts.

    No suspicious masses, architectural distortion, skin thickening
    or nipple retraction is identified.

    A lobular focus of enhancement in the inferior sternum which is
    T1 hypointense, T2 hyperintense, demonstrates avid enhancement.
    It measures 21 x 7 x 13 mm and contains internal punctate foci of
    T1 and T2 hypointensity.

    A very distended gallbladder is seen on some of the coronal
    images, without evidence of intra or extrahepatic biliary ductal
    dilation. On the coronal T2 images, a vertical tubular structure
    just posterior to the gallbladder likely represents the inferior
    vena cava.

    IMPRESSION:

    BI-RADS 3 : Probably benign, recommend 12 month follow-up breast
    magnetic resonance imaging, concurrent with annual mammogram.

    1. The area of mammographic abnormality in the far posterior
    central left breast 14 cm from the nipple likely represents
    normal asymmetric glandular tissue.

    2. Tiny foci of stippled enhancement in the central left breast
    measuring 1 to 2 mm, are asymmetric in number when compared to
    the right breast. While these may represent small foci of
    adenosis or fibrocystic change, these findings are nonspecific.
    Given the asymmetry compared to the right side, follow-up breast
    magnetic resonance imaging is recommended to evaluate for
    stability or change of the small enhancing foci.

    3. Intensely enhancing lower sternal lesion measuring 21 x 7 x 13
    mm, does not have MR characteristics consistent with a
    hemangioma. Internal punctate foci of hyperintensity suggest
    possible internal calcification suggestive of an enchondroma.
    Recommend CT of the sternum for further evaluation, to evaluate
    for classic features of enchondroma, versus a more aggressive
    process.

     
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    Old 12-26-2009, 07:31 AM   #2
    yoda1257
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    Re: MRI Breast Bilateral

    I could only speak in general. After looking at your report. It appears that in general, any potential abnormalities were attributed to other beneign conditions, except the sternal lesion. Even then, the sternal lesion was most likely another condition. The report states possible follow-up with a CT scan.
    Does your doctor think that is necessary?

    In general MRI's pick up every little thing so they address each potential abnormal feature. but the report also says no masses, no thickening etc., which sounds reassuring.

    Usually breast cancer grows very slowly, so even if there was a problem, a one year follow-up for an MRI is probably per protocol. But you could get a 2nd opinion for piece of mind. Do you have a hx of breast cancer in your family?

    Good luck. I am a survivor, so know these tests and reports can be scary.

     
    Old 12-27-2009, 08:20 AM   #3
    Chahid181
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    Re: MRI Breast Bilateral

    Yes my doctor wants me to get the CT to double check everything. So just very worry about this whole sitution since I do have HX Breast cancer in my family (Grandma and her sister). It is scary.... Thank you for your responce I feel a little better now Happy Holidays!

     
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