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Age: 47

Sex: Female

Indication: Breast asymmetry

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Case #1


Findings

  • Bilateral mastectomies
  • Bilateral retropectoral silicone implants
  • Keyhole sign
  • Linguine sign
  • Subcapsular line sign


Diagnosis

Intracapsular implant rupture

Sample Report

There is evidence of bilateral mastectomies status post reconstruction with bilateral retropectoral silicone implants. There is no evidence of intracapsular or extracapsular rupture of the left implant. Evidence of intracapsular rupture of the right implant is seen, including the subcapsular line sign, keyhole sign, and linguini sign. No evidence of extracapsular rupture of the right implant. No mass or suspicious enhancement is seen in either reconstructed breast. No axillary or internal mammary adenopathy is identified.


Discussion


Images

MRI STIR with water suppression sequence demonstrates signs of intracapsular rupture, including the subcapsular line sign (yellow arrows). MRI STIR with water suppression sequence demonstrates signs of intracapsular rupture, including the keyhole sign (blue arrow). MRI STIR with water suppression sequence demonstrates signs of intracapsular rupture, including the linguini sign (red arrows).



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