Hyperechoic breast lesions

Last revised by Andrew Murphy on 23 Mar 2023

Citation, DOI, disclosures and article data

Citation:

Weerakkody Y, Murphy A, Glick Y, et al. Hyperechoic breast lesions. Reference article, Radiopaedia.org (Accessed on 25 Apr 2024) https://doi.org/10.53347/rID-15776

DOI:

https://doi.org/10.53347/rID-15776

Permalink:

https://radiopaedia.org/articles/15776

rID:

15776

Article created:

7 Nov 2011, Yuranga Weerakkody ◉

Disclosures:

At the time the article was created Yuranga Weerakkody had no recorded disclosures.

View Yuranga Weerakkody's current disclosures

Last revised:

23 Mar 2023, Andrew Murphy ◉

Disclosures:

At the time the article was last revised Andrew Murphy had no financial relationships to ineligible companies to disclose.

View Andrew Murphy's current disclosures

Revisions:

7 times, by 5 contributors - see full revision history and disclosures

Systems:

Breast

Sections:

Gamuts

Tags:

cases

Synonyms:

Hyperechoic breast lesions on ultrasound
Hyperechoic breast masses
Hyperechoic breast lesion
Hyperechoic breast mass
Echogenic breast lesions
Echogenic breast lesion

There are a number of lesions that appear hyperechoic on ultrasound. Such lesions can be either completely or partly hyperechoic and include both benign and malignant entities.

Benign

fat containing breast lesions
- lipoma of the breast
- fibroadenolipoma (hamartoma) of the breast
- focal regions of mammary fat necrosis
- angiomyolipoma of the breast ³: rare lesion
- intramammary lymph node with prominent central fat replacement of the hilum: partly hyperechoic
acute breast hematoma: from acute hemorrhage
breast angiomas ¹
- breast hemangioma: can contain hyperechoic components
- capillary angioma of the breast
focal fibrosis involving the breast

Malignant

rarely some breast cancers can appear hyperechoic ²: may be related to tumor heterogeneity in cellularity such as cribriform pattern, tubular structure, solid nests and a scirrhous pattern of cancer cells