Unfortunately, breast pain and breast lumps are very common in women your age. Additionally, mammograms are much less sensitive in young women with dense breasts and benign proliferative lesions, such as in your case.
If you (or your doctor) believe that you have one or more new lumps in either breast (or in the armpit area), then these will need to be worked-up, just as before. In addition to mammograms, given the density of your breasts and the preexisting lumps, an ultrasound of any areas of concern should also be performed.
Any suspicious breast or armpit lumps should be biopsied (either with a needle biopsy or with an excisional biopsy).
Sincerely/ Robert A. Wascher, MD, FACS
http://doctorwascher.com
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