Poly Implant Prothèse (PIP) breast implant rupture

Case contributed by Dr. Chris O'Donnell

Presentation

Right chest wall pain. Breast implants.

Patient Data

Age: 50 years
Gender: Female

Coronal T2 fat-sat: normal left prosthesis. Complete right intracapsular rupture with collapsed (non-linguine) envelope (arrows) and extrusion of silicon inot the host capsule.

Axial silicon-sensitive sequence (i.e.only silicon shows as high signal): collapsed envelope (arrow) and extrusion of silicon into the host capsule.

Silicon-supressed sequence: small bubbles of fluid (arrow) trapped in the extruded silicon and collapsed envelope.

Sagittal T2W images: reactive level 1 lymph node not containing silicon, i.e. not high signal on the silicon sensitive sequence. Bubbles of fluid (salad oil sign; arrow) contained within the extruded silicon and collapsed envelope

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