Stepladder sign (intracapsular breast implant rupture)

Stepladder sign is a sonographic sign indicating an intracapsular breast implant rupture. It is considered the most reliable ultrasonographic finding in silicone gel breast implant intracapsular rupture. It is identified as multiple, discontinuous, parallel, linear echoes in the lumen, and is analogous to the linguine sign on MRI.

The stepladder sign is also used to describe the air-fluid levels in obstructed small bowel on an erect abdominal radiograph.

Breast imaging and pathology
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Article information

rID: 15433
System: Breast
Section: Signs
Synonyms or Alternate Spellings:
  • Step ladder sign - breast implant intra-capsular rupture
  • Stepladder sign: breast implant intra-capsular rupture
  • Step ladder sign: breast implant intra-capsular rupture

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    Figure 1: stepladder
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