Injected breast augmentation

Case contributed by Dr Alexandra Stanislavsky

Presentation

Screening mammogram. History of breast augmentation procedure 15-20 years prior.

Patient Data

Age: 52
Gender: Female
Modality: Mammography

Asymmetric, rounded amorphous densities are present bilaterally, surrounded by less dense breast parenchyma. A more focal, dense circumscribed mass is also noted centrally in the left breast.   There are no discrete breast "implants", nor is this the typical appearance of free silicone injection.

Scattered dystrophic calcifications present. 

Modality: Ultrasound

Selected images from right breast ultrasound study demonstrate a circumbscribed collection with mixed internal echoes, located deep to the glandular tissue.

Case Discussion

This patient has a history of prior augmentation mammoplasty by injection. The substance injected is not known, however the appearance is not typical of silicone injection which typically presents as multiple very dense masses - much denser than this - with variable rim calcification.  

It is likely to represent hydrophilic polyacrylamide gel  (PAAG) injection.

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Case Information

rID: 33697
Case created: 21st Jan 2015
Last edited: 28th Sep 2015
System: Breast
Inclusion in quiz mode: Included

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