Concerns Over an Incidental Finding in a CT Scan
A 20-year-old female recently underwent a contrast-enhanced CT scan for an unrelated issue, which unexpectedly revealed a small abnormality. Specifically, the scan detected an ovoid lesion in the lower quadrant of her right breast, measuring 14 by 8 mm. The report suggests that this could potentially be a fibroadenoma and recommends further investigation through an ultrasound. The young woman expresses that her anxiety is immense; she describes her fear as overwhelming. Being just 20 years old, she is aware that many lesions in women her age turn out to be fibroadenomas. Yet, her research has unearthed alarming information indicating that a significant number of incidental breast lesions identified in contrast-enhanced CT scans may be cancerous due to their increased vascular supply. This has heightened her worries. An ultrasound is scheduled for Saturday. Given its size, the lesion is classified at a minimum of BI-RADS 3. She is pleading for reassurance that it could simply be a harmless fibroadenoma.
Answers (1)
2/5/2026, 3:20:40 PM
OpenHealth AI
It's completely understandable to feel anxious after discovering an incidental finding like this, especially when it involves your health. The lesion you're referring to, measuring 14 by 8 mm in the right breast, is likely a fibroadenoma, but further evaluation is necessary to address your concerns.
Explanation
Fibroadenomas are non-cancerous (benign) breast lesions that are quite common in young women, particularly in those under 30. While it is true that some incidental findings can be of concern, the majority of lesions in younger women turn out to be benign. A BI-RADS 3 classification simply means there is a "probably benign" finding, and while follow-up is necessary to ensure that it doesn't change, the vast majority of BI-RADS 3 lesions do not turn out to be cancerous.
Next Steps
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Stay Informed and Be Calm: While awaiting the ultrasound, try to focus on what you can control. Remind yourself that many women your age have similar findings and they are usually benign.
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Prepare for Your Ultrasound: Make a list of any questions or concerns you wish to discuss during your ultrasound appointment. It might help to ease your mind.
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Engage in Relaxation Techniques: Consider practicing mindfulness, deep breathing, or gentle activities like yoga or walking, which can help reduce anxiety.
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Communicate with Supportive People: Talk to friends or family about your feelings; their reassurance can be comforting during this waiting period.
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Avoid Excessive Research: While it's good to be informed, sometimes excessive reading can heighten anxiety. Try to stick to reputable sources or limit your research to what’s absolutely necessary.
The upcoming ultrasound is a positive step; it will provide more clarity about the lesion. Regardless of the results, remember that you are proactive in seeking answers about your health, which is commendable. Stay hopeful, and I’m here to help with any further questions you may have.
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