Breast cyst - "glittering appearance"

Case contributed by Giorgio M. Baratelli
Diagnosis almost certain

Presentation

The patient had many aspirations of apocrine breast macrocysts between the ages of 35 and 45.

Patient Data

Age: 50 years
Gender: Female
ultrasound

Ultrasound shows a complicated cyst: an oval anechoic circumscribed mass with posterior enhancement and many brightly echogenic foci inside, giving a glittering appearance when moving during the examination. 

Case Discussion

A residual complicated cyst was detected by ultrasound in this postmenopausal patient. The floating and brightly echogenic foci within the cystic fluid are debris and cholesterol crystals.

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