Background: 52 yr female, bilateral IDC 2012, HER2 positive NEU negative, no lymph node involvement, bilateral mastectomy, chemotherapy, Tamoxifen, and reconstruction. Recurrence left side 2017, radiation and Exemestane. Positive for ATM mutation. Now I have 2 suspicious non mass-like stippled enhancements (MRI w/wo contrast) in same area as previous recurred IDC (lower outside quadrant near axilla line). US scheduled. Last three to four months lost 15 lbs (140 to 125), no appetite, crave sugary sweets only, nausea after eating small amounts, deep fatigue, joint pain, leg cramps, night sweats, tender biopsy/reconstruct scar area and axilla line, possible small palpable lumps but could be fat necrosis or scar tissue, shortness of breath, chest pain around to upper back, increased headaches, insomnia, general feeling of "doom - something wrong." Question - what is the likelyhood that my gut is right and my aggressive cancer is back and possibly metastesized? Time for a second opinion if US fails to identify?