July 2016

Abnormal aspect of both breasts on both sides

Clinical Info

Patient has very lumpy breasts on both sides but denies to have had any operation of the breasts.

Ultrasound Images & Clips

Abnormal aspect of both breasts on both sides

Abnormal aspect of both breasts on both sides. The patient denies to have had an operation. What could have caused the abnormal aspect?
Abnormal aspect of both breasts on both sides. The patient denies to have had an operation. What could have caused the abnormal aspect?
Another image of the same breast
Another image of the same breast
The contralateral side looks exactly the same
The contralateral side looks exactly the same
Some parts of the breast are completely obscured and there looks like an abnormal axillary lymph node
Some parts of the breast are completely obscured and there looks like an abnormal axillary lymph node
The axillary lymph nodes are abnormal
The axillary lymph nodes are abnormal
They are abnormal on both sides
They are abnormal on both sides
This is the breast of a 50 year old patient who was operated on more than 15 years ago. What do you see?
This is the breast of a 50 year old patient who was operated on more than 15 years ago. What do you see?
There is a breast prosthesis with intra and extra capsular leakage of silicone material
There is a breast prosthesis with intra and extra capsular leakage of silicone material
This is the typical aspect of silicone material outside of the prosthesis
This is the typical aspect of silicone material outside of the prosthesis
The wall of the prosthesis has folded inwards causing what is sometimes referred to as a stepladder sign
The wall of the prosthesis has folded inwards causing what is sometimes referred to as a stepladder sign
This patient also has silicone particles in the axillary lymph nodes
This patient also has silicone particles in the axillary lymph nodes

Conclusion

The first patient has had free silicone injections in the breasts. The presence of free silicone material makes an ultrasound examination impossible. Unfortunately for the patient a mammography is also a problem
The second patient has had a silicone implant placed that is leaking. The free silicone material causes typical artefacts. Both patients also have silicone material in the axillary lymph nodes


Details

  • Sex: Female
  • Age: 27
  • Body part: Breast

Created with

  • Hitachi Ultrasound System