Are there alternatives to MRI-guided biopsies for new breast areas found after c...

MRI cleared left breast and lymph nodes but found 2 other questionable areas in right breast, 1 in same quadrant and 1 in another plus noted 1.3cm already identified malignancy (mammo said it was up to 4mm) MRI guided biopsies recommended. Any other alternative options? Diagnosis RIGHT BREAST, UPPER OUTER CALCS, 9G VACUUM-ASSISTED STEREOTACTIC CORE BIOPSY: INVASIVE LOBULAR CARCINOMA, ESTIMATED HISTOLOGIC GRADE 2-3, INVOLVING MULTIPLE CORES, MEASURING UP TO 4 MM MICROSCOPICALLY. PLEOMORPHIC LOBULAR CARCINOMA IN SITU WITH COMEDONECROSIS, EXTENSIVE. MICROCALCIFICATIONS NOTED BOTH IN TUMOR AND NONTUMOROUS BREAST TISSUE. The final results are MALIGNANT and concordant with imaging. Surgical and oncologic management is recommended. Recommend breast MRI for extent of disease evaluation given lobular phenotype and extremely dense breasts. Estrogen Receptor 99 % POSITIVE STRONG Progesterone Receptor 75 % POSITIVE MODERATE Ki67, proliferation marker 50 % HIGH HER2 by IHC NEGATIVE 0 HER2 test by FISH* pending Genetic testing results pending