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Q. What do my BI-RADS variations indicate?

Answered by
Dr. Arvind Guru
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 02, 2022

Hi doctor,

I took a three-dimensional mammogram and ultrasound last month. This was my first mammogram, and it showed left focal asymmetry and was followed by ultrasound which showed nothing in the area of concern. And I got a BI-RADS 1. There was no clinically palpable mass, and I was recommended yearly screening. However, I have read that the focal breast asymmetry should be BI-RADS 3 in a six months follow-up. Is it necessary to have another mammogram and ultrasound every six months, or can I wait a year?

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Hello,

Welcome to icliniq.com.

I understand your concern.

I have reviewed the reports (attachment removed to protect the patient's identity). On the mammogram (MMG), focal asymmetry was suspected. However, your MMG is ultimately reported as BI-RADS 0. This implies that no conclusion is possible. As a result, an ultrasound (USG) was performed. There is no abnormality in USG, so it is reported normal. BI-RADS 1 is what it is. However, I would like to know why you recommended an MMG in the first place. The risk assessment or preventive screening for breast cancer can be done at any time.

Hi doctor,

Thank you for the reply.

It had been a year since my last ultrasound for breast pain, and the doctor recommended that I get a baseline mammogram because I am nearly 40. In addition, I had a rash on my right breast.

#

Hello,

Welcome back to icliniq.com.

I understand your concern.

Then it is best to repeat the ultrasound (USG) after a year or as directed by your doctor.

Hi doctor,

Thank you for the reply.

My doctor has advised me to have another mammogram and USG next year. Should I only take the USG?

#

Hello,

Welcome back to icliniq.com.

I understand your concern.

For your age, I would only recommend an ultrasound (USG). However, some people recommend a mammogram (MMG). Also, I advise you to vaccinate against Ca Cervix (Cervical cancer).


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