Hamartoma of the breast
Patient presented with a palpable mass in the right breast since 7 years. The mass was initially small in size but was gradually increasing. The mass is painless with no discharge per nipple.
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A well defined capsulated lesion is seen almost occupying the upper quadrant(inner + outer) of right breast. The lesion shows fat density with interspersed radioopaque lesions inside.No calcification is seen. Surrounding breast parenchyma appears normal.
Appears as lucent lesions containing fat, varying radio dense fibrous and adenomatous elements, a sharp margin, and sometimes a thin capsule. Lobulated densities are dispersed within the encapsulated fat, described as a “slice of salami”.
It shows sharp definition and displacement of surrounding structures. It contains sonolucent fat and echogenic fibrous components with a heterogeneous internal echo pattern.
It shows the presence of internal fat density in addition to the smooth well defined hypointense rim and internal heterogeneous enhancement, which are characteristic of breast hamartoma.