Presentation
Patient presented with a palpable mass in the right breast for 7 years. The mass was initially small in size but was gradually increasing. The mass is painless with no discharge per nipple.
Patient Data
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. The surrounding breast parenchyma appears normal.
Case Discussion
Mammography:
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”.
Ultrasound:
It shows sharp definition and displacement of surrounding structures. It contains sonolucent fat and echogenic fibrous components with a heterogeneous internal echo pattern.
M.R.I.:
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.
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