Pseudoangiomatous stromal hyperplasia (MRI)

Case contributed by Enrico Citarella
Diagnosis certain

Presentation

Patient complains of a right breast lump.

Patient Data

Age: 45 years
Gender: Female

MRI of the Right Breast

mri
This study is a stack
Axial
T1
This study is a stack
Axial
STIR
This study is a stack
Axial
DWI
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Axial subtracted
T1 C+ fat sat
This study is a stack
Triplane
MIP
Enhancement
curve
Download
Info

Pear-like shaped mass between upper quadrants (56 mm), with sharp margins. The mass is hyperintense in T2 acquisitions, hypointense in T1 acquisitions. Enhancement is slightly inhomogeneous with an inner core more vividly enhancing. The lesion enhancement shows a type I curve (progressive enhancement). The lesion is hyperintense in DWI acquisitions.

Findings are quite suggestive of a benign lesion.

Case Discussion

Patient underwent a core biopsy which resulted in pseudoangiomatous stromal hyperplasia.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.