AboutClaes-Gustaf Nordquist, M.D. Expertise I`m a doctor of medicine and a specialist in radiation therapy and medical oncology. I have long experience in diagnostics and treatment of breast tumours.
Experience I'm a Doctor of Medicine. Licensed/certified physician and surgeon and specialist in Medical Oncology and Radiation therapy in Sweden, Denmark, Finland, Iceland, Norway and the European Union. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps. Now in private practice in Stockholm, Sweden.
Question Ultrasound examination there are multiple bilateral findings of concern. In the 8 o'clock position, there are two hypoechoic subcentimeter nonshadowing nodules, the larger of which are about 0.92 cm. They are not particularly sharply defined. There is no evidence of posterior shadowing.
In the 10 o'clock position peripherally, a similar attenuation 1-cm nodule, nonshadowing. It shows some internal vasculature. On the left side, a roughly triangular-shaped, taller than wide 1-cm nodule also with some internal vasculature, but no posterior acoustic shadowing.
This was done by ultrasound and I am scheduled for a breast MRI day after tommorow. What does it mean internal vasculature, hypoechoic, and the posterior shadowing? I dont know what these terms mean can you explain them better and whether these are normally good signs or bad? I was just told some things were of a concern and they wanted me to do the MRI. Thank you
Answer They can detect blood vessels in them, they do not give much echo (ultrasound scans work like radar but with sound waves, it detects echoes from lesions present) and there may be a "shadow" in the scan behind a lesion because the sound waves are reflected back (the echo)leaving no sound waves left to detect anything behind the lesion. These are all just technicalities. I can hardly give you any crash course here on ultra sound scanning diagnostics. So to go further into it is not meaningful. Some lesions can be "seen" in your breasts with ultrasound. Their appearance is not such that they can be completely diagnosed, that is why also an MRI scan will be made. I also suggest that you insist on ultrasound guided needle biopsies of these lesions! Then we will KNOW what they are and can take action if necessary. Good luck!
