Surgical scar of the breast

Case contributed by Garth Kruger , 29 Mar 2013
Diagnosis certain
Changed by Henry Knipe, 11 May 2016

Updates to Quizquestion Attributes

Question was changed:
2. You recommend a workup on a patient and she does not come back. Its It is a BIRADS 0 and itsit is just sitting there. Do you just leave it?

Updates to Study Attributes

Modality was set to Annotated image.
Findings was added:

You noticed the small area of fat necrosis centrally (arrowed) in the scar on the MLO view, right?

Images Changes:

Image Annotated image ( update )

Single Or Stack Root was set to .

Image 1 Annotated image ( update )

Position was set to .

Updates to Case Attributes

Body was changed:

The ultrasound images can be quite intimidating at first glance but don't be phased by the anechoic appearance of the surgical scar. They often look like this. The secret in following up these patients is to conscientiously compare imaging on follow up with previous studies. Except for fat necrosis and skin changes related to radiation, once imaging is stable be very leery of any changes in follow up.

You noticed the small area of fat necrosis centrally in the scar on the MLO view, right? (inset image with the arrow)

  • -<p>The ultrasound images can be quite intimidating at first glance but don't be phased by the anechoic appearance of the surgical scar. They often look like this. The secret in following up these patients is to conscientiously compare imaging on follow up with previous studies. Except for fat necrosis and skin changes related to radiation, once imaging is stable be very leery of any changes in follow up.</p><p>You noticed the small area of fat necrosis centrally in the scar on the MLO view, right? (inset image with the arrow)</p>
  • +<p>The ultrasound images can be quite intimidating at first glance but don't be phased by the anechoic appearance of the surgical scar. They often look like this. The secret in following up these patients is to conscientiously compare imaging on follow up with previous studies. Except for fat necrosis and skin changes related to radiation, once imaging is stable be very leery of any changes in follow up.</p>

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