Dr. Vivek Chail
General Practitioner
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have attached a report. Please explain what these mean.
Hello,
Welcome to icliniq.com.
I read your query and understand your concern.
The ultrasound scan of bilateral breasts is showing three areas of interest in the right breast at 2, 12, and 7 o’clock (attachment removed to protect the patient’s identity). While the lesion at the 7 o’clock position is a lymph node, the other two lesions need slightly more detailed scanning by the doctor. As I can see from your report, the scan is done by a radiographer and the doctor reporting your scan wants to do additional imaging for lesions at 2 and 12 o’clock positions to confirm the findings in a better way. This is a common occurrence and will help your doctor to do a more accurate interpretation of your condition. Other than the above, there are subtle fibrocystic changes in bilateral breasts which is a common and usually benign finding.
I hope this helps you.
Thank you for consulting me.
You can always come back and reach me at icliniq.com.
Patient's Query
Hello doctor,
Thank you. What do the two and 12 o’clock images look like they could be though? I know that I need to do additional scanning and tests but I got my menstrual cycle 10 days early so for the next few days I cannot do scans. I just want to know if the 2 and 12 o’clock images could possibly be cancerous or if they are something else not related to that. Just want to know if there is a possibility of that doctor. From what I have seen of other people's ultrasounds online, the ones that looked like my scans were cancerous. And are lymph nodes usually the first finding of possible cancer? Like my lesion at the 7 o’clock position?
Hello,
Welcome to icliniq.com.
Glad to have you back.
I am here to help you get the best medical advice.
The lesion in the 2 o’clock position does not look alarming. It is small to make a complete analysis. The lesion in the 12 o’clock position needs a closer look. There is a lot of overlap between cancerous and non-cancerous lesions. If this lesion was there in your study then a comparative analysis of any enlargement in size and change in imaging features is important. If you were to ask between the possibilities of benign and malignancy, I would say that it looks more benign but then a closer look and comparison with previous scans is very important. Please get the scan done over the next two weeks if possible.
I hope this helps you.
Thank you for consulting me.
You can always come back and reach me at icliniq.com.
Patient's Query
Hello doctor,
Thank you so much, doctor. I am getting the scan done in three to four days, as soon as my period is done. Can benign become malignancy? What is usually the best option for benign findings? Would they be removed to prevent getting cancer?
Hello,
Welcome to icliniq.com.
Glad to have you back.
I am here to help you get the best medical advice
Usually, malignant lesions double in size between 30 and 180 days and this is the general trend. In the radiological imaging of breast lesions, we have a grading system giving a relative occurrence of malignant lesions. So a few lesions are thought of as benign and turn out to be malignant. This is a rare occurrence and should not scare you. In discussing options for breast lesions BI-RADS 1 (breast imaging reporting and data system) and BI-RADS 2 are essentially harmless and BI-RADS 3 has less than 2 percent malignancy changes and BI-RADS 4 and BI-RADS 5 need extensive clinical evaluation. Biopsy is most important and if proven benign then it can be left alone and suggested follow-up.
I hope this helps you.
Thank you for consulting me.
You can always come back and reach me at icliniq.com.
liniq.com.
Patient's Query
Hello doctor,
This is the report from five years back. I was told that I had nothing to worry about so I never even saw it before. When comparing the recent report to the last one, is there anything that seems like it needed further testing back then and has changed in the latest scan results?
Hello,
Welcome to icliniq.com.
Glad to have you back.
I am here to help you get the best medical advice
In the previous report, BI-RADS 2 is given for left breast ductal ectasia and this is a benign finding. There is no mention of the right breast lesions and so no further testing was needed back then. The doctor will do re-scanning and mention grading of the lesions in the right breast once you go for the next ultrasound.
I hope this helps you.
Thank you for consulting me.
You can always come back and reach me at icliniq.com.
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General Practitioner
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