Stepladder sign (intracapsular breast implant rupture)
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The 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.
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