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hepatic cysts and adnexal cysts would not be spread of breast cancer.
spiculated sclerotic sacrum can be normal as well.
with no cancer in the lymph nodes, chances of spread elsewhere in the body are very low
most doctors order a full body PET/CT scan to look for evidence of breast cancer spread elsewhere in the body.
when was your breast cancer surgery?
was your breast cancer ER positive?
are you taking tamoxifen?
dexa bone scans only show bone density.
your prior PET/CT scans haven't shown spread.
I would not worry about cancer spread of your breast cancer.
those findings on your scan don't sound like spread.