Sagittal FSE T2
Sagittal FSEIR Water Suppressed
| 66 year old female s/p aortic surgery with surgical clamp bruising of the breast and erythema. R/O implant rupture. |
| Implant evaluation MRI | |
Sagittal FSE T2 |
Sagittal FSEIR Water Suppressed |
Ruptured subglandular silicone breast implant will free silicone in the axilla (arrow).
| MRI for skin thickening 6 months later | |
| Sagittal T2W | Axial T1W FS post gad |
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| Subtraction, third phase, consecutive images | |
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| Extensive tumor involvement of the right breast including prominent skin infiltration. All of the visualized breast parenchyma enhances abnormally, suspicious for diffuse tumor infiltration. Multiple focal nodular masses adjacent to the chest wall probably represents metastatic disease to lymph nodes. |
| Diagnosis: Inflammatory breast cancer (infiltrating ductal carcinoma), positive nodes |
| Although there is a radical change in the breast over the preceding 6 months, it is important to indicate on any non-contrast breast implant MRI report that "The protocols used for this study are designed to evaluate the integrity of breast implants and do not asses for the presence of breast malignancy." |
