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Fat necrosis - breast

Case contributed by Chris O'Donnell
Diagnosis almost certain

Presentation

Routine examination post right mastectomy. Left reduction mammoplasty.

Patient Data

Age: 70 years
Gender: Female

Current examination

mammography

Progressive contraction of parenchyma and concerning microcalcification.

One mth from current exam

mammography

Progressive contraction of parenchyma and concerning microcalcification

2 yr from current exam

mammography

Progressive contraction of parenchyma and concerning microcalcification.

3 yr from current exam

mammography

Central density with small calcifications. 

mammography

Stereotactic vacuum-assisted biopsy and specimen radiograph. 

Case Discussion

Progressive contraction of parenchyma and concerning microcalcification - biopsy contains calcification and indicated fat necrosis occurring some years after surgical intervention.

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