One might think a follow up report should cost less but in fact we are lucky they don’t cost more because it is twice the work for the doctor to analyze changes vs. looking at only one set of images. Fast-food inferior thermography reports often omit the date of the comparison set because they aren’t comparing! This saves them time but may sabotage your health so beware and check to see if there is mention of your previous imaging date as the “comparison”.
Our reports give detail for each breast, its grade, whether the pattern suggestive of estrogen dominance is present, any new hotter areas if found, recommendations for followup imaging.
Fast-food thermography will tell you to get another thermogram before getting structural imaging, usually as soon as 90 days from first one. Quality thermography clinics will tell you to come back as soon as 90 days only if there is an abnormal finding, plus, if you’ve not had any in the last year, quality reports will recommend structural imaging next so that we can all know/see both sides of the coin (structural and physiological - thermal) within a reasonably close time-frame which gives corroboration of findings, a true baseline. You will not be ordered to do anything or restricted from further imaging if you do not follow recommendations, but ideally you would be able to obtain at least one perfectly safe ultrasound in a fairly close proximity to your thermogram. MRI and mammography will also provide information but with possible side effects.