What Does My MRI Scan Test Result Indicate?

Posted on Fri, 15 Apr 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 15 Apr 2016 Answered on

Thu, 9 Jun 2016 Last reviewed on

Question : On MRI report---Incidental notice made of a rounded low T1 intermediate increased T2 signal intensity 12x9 mm lesion adjacent to the left masseter muscle. Postcontrast images demonstrate mild enhancement of this lesion with a central area of non-enhancement represent an area of necrosis or cystic change.
ENT Doctor was going to do a biopsy in office but could not feel the mass and could not determine the exact location. She suggested a CT guided biopsy at the local hospital. She said the odds of malignancy are small and did not seem overly concerned. I am a breast cancer survivor, 7yrs, so naturally any mass concerns me.
What are your conclusions, recommendations, etc.? Thank you.

Answered by Dr. Naveen (6 hours later)

Brief Answer:
Get ultrasound guided biopsy and PET scan...

Detailed Answer:
Hi

Thanks for posting the query

It is very rare for the breast cancer to spread into the buccal mucosa. If you are really concerned about the lesion in the cheek, you can request for an ultrasound guided biopsy, rather than a CT scan guided.

Secondly, I would suggest you to get a PET scan. PET scan can pick up even small cancerous lesions or secondaries in the body. PET scan will be more appropriate and that can alleviate your fears.

Hope this answers your query; revert back to me if you have any follow up queries.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Deepak