MammoEd
Digital Interactive Breast Imaging Education

 
Home

Teaching Files

Radiologists

Residents

Clinicians

Technologists

Patients

Research

About



 
 

Case 47 Answer

This patient had received direct silicone injections for breast enlargement. This is illegal in the USA, but is still performed in some nations. The sensitivity of mammography is obviously much lower in these patients.

This is a different patient who was told that she should have a bilateral mastectomy because her silicone injections made mammography "useless." She referred herself for a screening MRI.

Case 47 MRI:

Observe that multiple silicone masses are supressed, and the single enhancing mass is easily visible on MR images.

  • What is your recommendation?

      a. Ultrasound focused in the location of the mass, followed by ultrasound-guided biopsy

      b. MRI-guided core biopsy

      c. MRI-guided wire localization and surgical excision




  • Last update: Tuesday, August 20, 2002 at 2:41:24 PM.