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Breast lumbs
Hello Doctor,
I am 37 years old, married, and have no children. I recently had follow-up ultrasound breast scans due to bilateral breast pain. My first ultrasound report (2025) showed multiple small well-circumscribed hypoechoic masses in both breasts, suggestive of fibroadenomas, categorized as BIRADS 3. Follow-up after 6 months was advised.
In my latest ultrasound report (2026), multiple lesions are still present in both breasts. Right breast lesions measure approximately 12.8 × 6.8 mm, 9.7 × 5.5 mm, 9.0 × 3.6 mm, and 13.0 × 6.6 mm. Left breast has a small lesion around 3.5 × 3.0 mm. Most lesions are now categorized as BIRADS 2, while one remains BIRADS 3. No lymphadenopathy, ductal dilatation, or suspicious features are reported.
My concern is that the number/size of lumps appears slightly increased compared to the first report. Could this still be normal fibroadenoma/fibroadenosis related to hormones? Is surgery or biopsy needed, or is regular follow-up enough? Please guide me
Answers (14)
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Your reports sound reassuring overall, especially since most lesions are now BIRADS 2 and no suspicious features or lymph nodes are mentioned 👍
Fibroadenoma and fibrocystic changes can definitely vary with hormonal influences, but since there has been some interval change, a proper detailed review of both scans would help decide whether simple follow up is enough or if anything further is needed. You can book a consultation, I’ll guide you clearly and without unnecessary fear 😊
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"The progression of your ultrasound reports from 2025 to 2026 is actually quite reassuring. While the number and size of the lumps (fibroadenomas) may appear slightly increased, the fact that most have been downgraded from BIRADS 3 (Probably Benign) to BIRADS 2 (Benign) is a very positive clinical sign. Fibroadenomas and fibroadenosis are highly sensitive to hormonal fluctuations. Since there is no lymphadenopathy or ductal dilatation, these findings strongly suggest a benign condition related to hormonal cycles rather than any suspicious malignancy
Next Steps
Continued Surveillance: "Since one lesion remains categorized as BIRADS 3, a follow-up ultrasound in 6 months is the standard protocol to monitor for any significant changes in morphology or rapid growth."
Clinical Correlation: "I recommend a physical breast examination by a Surgical Oncologist or a Breast Specialist. They can correlate the ultrasound findings with the physical 'feel' of the lumps to determine if a fine-needle aspiration (FNAC) or biopsy is truly necessary."
Pain Management: "For the bilateral breast pain (mastalgia), your doctor may suggest evening primrose oil or specific vitamin supplements to help regulate the hormonal response in the breast tissue."
Consultation: "To review the exact measurements from both years and discuss whether a baseline biopsy is needed for your peace of mind, please book a full consultation session via my Practo profile."
Health Tips
Hormonal breast changes are very common, and your 'Benign' downgrade is a great sign. Please book a full session to discuss your long-term monitoring plan.
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