Intracapsular breast implant rupture

Case contributed by Dr Roberto Schubert

Presentation

Status post reconstructive surgery with a silicon implant after mastectomy for breast cancer. MRI was prescribed to rule out secondary cancer of the contralateral breast.

Patient Data

Age: 55
Gender: Female
Modality: MRI

Water droplets within the silicone phase leading to chemical shift artifacts are indicative of a silicone implant rupture. This has been termed the salad oil sign. However, a few droplets alone do not confirm rupture. In this case there is also detachment of the implant shell from the fibrous capsule.

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Case Information:

rID: 13822
Diagnostic certainty: Certain
System: Breast
Inclusion in quiz mode: Included

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