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Section: Breast Imaging

 




Other Radiology articles from the Breast Imaging section Breast Imaging

Large Subpectoral Lipoma on Screening Mammography by Andres Su et al.

Published: 2017 Sep
Issue: 11(9) :: Pages: 22-27


Free full text article: Large Subpectoral Lipoma on Screening Mammography

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Abstract: A 61 year-old woman presenting for bilateral screening mammogram was found to have an oval fat-density mass in the posterior right breast, partially visualized, with anterior displacement and thinning of the pectoralis major muscle. This mass was found on CT and MRI correlation to represent a large fat-containing mass, likely a lipoma, deep to the pectoralis major. On subsequent screening mammograms, the visualized portion of the mass remained stable. Subpectoral lipomas and intramuscular lipomas within the pectoralis major are rare, and their appearance on mammography may not be familiar to most radiologists. A review of the literature and a discussion of their appearance on multiple imaging modalities is provided.


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Conventional Radiography, Computed Tomography, Magnetic Resonance Imaging, Table





Other Radiology articles from the Breast Imaging section Breast Imaging

Granulomatous Mastitis in a Transgender Patient by Kenny Q Sam et al.

Published: 2017 Feb
Issue: 11(2) :: Pages: 16-22


Free full text article: Granulomatous Mastitis in a Transgender Patient

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Abstract: Granulomatous mastitis is a rare and benign inflammatory condition of the breast most commonly affecting women of child-bearing age as well as patients on oral contraceptives. This condition is important to identify due to its diagnostic mimicry of malicious entities such as breast carcinoma. Clinical and radiological findings are nonspecific and may overlap with breast carcinomas, thus pathologic confirmation is often necessary for definitive diagnosis. Although cases of granulomatous mastitis have been described in cisgender females, there have been no reported cases in the transgender patient, a growing patient population with few imaging guidelines. Transgender patients are at risk of developing this breast entity due to the use of long-term hormone treatments or presence of residual breast tissue. A trial of antibiotics or steroids may be administered. However, surgical treatment is often necessary in recurrent or refractory cases.


Available image modalities: (click on modality to browse for other articles)
Conventional Radiography, Ultrasound, Microscopic pathology, Table





Other Radiology articles from the Breast Imaging section Breast Imaging

Male Pectoral Implants: Radiographic Appearance of Complications by Cherie M Kuzmiak et al.

Published: 2016 Mar
Issue: 10(3) :: Pages: 11-19


Free full text article: Male Pectoral Implants:  Radiographic Appearance of Complications

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Abstract: There has been a significant surge in aesthetic chest surgery for men in the last several years. Male chest enhancement is performed with surgical placement of a solid silicone pectoral implant. In the past, male chest correction and implantation were limited to the treatment of men who had congenital absence or atrophy of the pectoralis muscle and pectus excavatum deformity. But today, the popularization of increased chest and pectoral size fostered by body builders has more men desiring chest correction with implantation for non-medical reasons. We present a case of a 44-year-old, male with a displaced left pectoral implant with near extrusion and with an associated peri-implant soft tissue mass and fluid collection. While the imaging of these patients is uncommon, our case study presents the radiographic findings of male chest enhancement with associated complications.


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Clinical image, Conventional Radiography, Ultrasound, Computed Tomography, Microscopic pathology, Other, Table





Other Radiology articles from the Breast Imaging section Breast Imaging

Aggressive Metaplastic Carcinoma of the Breast with Osteoclastic Giant Cells by Kathleen Khong et al.

Published: 2015 Sep
Issue: 9(9) :: Pages: 11-19


Free full text article: Aggressive Metaplastic Carcinoma of the Breast with Osteoclastic Giant Cells

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Abstract: Metaplastic carcinoma of the breast is an uncommon type of malignancy that is aggressive but can mimic other benign breast neoplastic processes on imaging. We present a case of a young female patient who presented with a rapidly progressing metaplastic carcinoma with osteoclastic giant cells subtype. There have been only very rare published reports of this pathologic subtype of metaplastic carcinoma containing osteoclastic giant cells.


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Ultrasound, Microscopic pathology, Magnetic Resonance Imaging, Macroscopic pathology, Table





Other Radiology articles from the Breast Imaging section Breast Imaging

Digital Breast Tomosynthesis Findings after Surgical Lipomodeling in a Breast Cancer Survivor by Dania Daye et al.

Published: 2014 Sep
Issue: 8(9) :: Pages: 9-15


Free full text article: Digital Breast Tomosynthesis Findings after Surgical Lipomodeling in a Breast Cancer Survivor

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Abstract: Autologous fat grafting or lipomodeling is a newly-adopted technique that is gaining increasing popularity in the treatment of contour deformities following breast conservation therapy. Here, we describe the case of a 47-year-old woman with a prior history of breast cancer treated with a lumpectomy and radiation therapy. She underwent lipomodeling not only of her treated breast but also of the contralateral breast. She presented for her annual mammogram which was performed with digital breast tomosynthesis. On imaging, a space-occupying lesion of mixed density was seen, expanding the lumpectomy site. There was also subtle distortion in the contralateral, non-treated breast. This case aims to highlight the mammographic and tomosynthesis findings seen following lipomodeling that may present diagnostic challenges in this patient population.


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Conventional Radiography, Table





Other Radiology articles from the Breast Imaging section Breast Imaging

Nodular Fasciitis in the Axillary Tail of the Breast by Dejan Samardzic et al.

Published: 2014 May
Issue: 8(5) :: Pages: 16-26


Free full text article: Nodular Fasciitis in the Axillary Tail of the Breast

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Abstract: Nodular fasciitis is a benign proliferation of myofibroblasts which presents clinically as a rapidly growing mass with nonspecific features on imaging and high cellular activity on histopathology. Nodular fasciitis can be mistaken for malignant fibrous lesions such as soft tissue sarcoma or breast carcinoma when located within breast tissue. This presents a problem for appropriate treatment planning as the natural history of nodular fasciitis is spontaneous regression. We present the mammographic, sonographic, computed tomography, and histopathologic characteristics of nodular fasciitis in a 68 year female initially presenting with a rapidly enlarging right axillary mass.


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Conventional Radiography, Ultrasound, Microscopic pathology, Computed Tomography, Table

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Other Radiology articles from the Breast Imaging section Breast Imaging

Contralateral Intramammary Silicone Lymphadenitis in a Patient with an Intact Standard Dual-Lumen Breast Implant in the Opposite Reconstructed Breast by Fernando Collado-Mesa et al.

Published: 2013 Nov
Issue: 7(11) :: Pages: 24-31


Free full text article: Contralateral Intramammary Silicone Lymphadenitis in a Patient with an Intact Standard Dual-Lumen Breast Implant in the Opposite Reconstructed Breast

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Abstract: Silicone lymphadenopathy is a recognized complication of silicone gel implant rupture; the ipsilateral axillary lymph nodes are most commonly involved. We report imaging findings on a range of different imaging modalities and biopsy results in a case of biopsy-proven silicone lymphadenitis involving contralateral intramammary and axillary lymph nodes in a patient with an intact standard dual-lumen breast implant in the opposite reconstructed breast. This case demonstrates that in a patient with disrupted lymph drainage due to prior mastectomy and axillary node dissection for breast cancer treatment, silicone particles can migrate in a retrograde fashion via the ipsilateral internal mammary lymph nodes and reach not only the contralateral axilla but also the outer quadrants of the contralateral breast, even in the presence of an intact breast implant.


Available image modalities: (click on modality to browse for other articles)
Magnetic Resonance Imaging, Computed Tomography, Conventional Radiography, Ultrasound, Microscopic pathology, Table

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Other Radiology articles from the Breast Imaging section Breast Imaging

Pilomatrixoma of the breast, a rare lesion simulating breast cancer: a case report by Jacopo Nori et al.

Published: 2013 Oct
Issue: 7(10) :: Pages: 43-50


Free full text article: Pilomatrixoma of the breast, a rare lesion simulating breast cancer: a case report

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Abstract: Pilomatrixoma or calcifying epithelioma of Malherbe is a rare, benign, skin tumour originating from piliferous follicles; breast localization is considered to be very rare. These lesions can origin from the peri-areolar piliferous bulbs and, due to the clinical and imaging features, be easily misdiagnosed as a breast neoplasm. We present a case of pilomatrixoma of the left breast in a woman of 43 years appearing as a firm, deep nodule in the external quadrants. The lesion had mammographic and sonographic malignant features, but histological analysis on core-needle biopsy and surgical specimens revealed this unusual benign lesion.


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Conventional Radiography, Ultrasound, Table

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Other Radiology articles from the Breast Imaging section Breast Imaging

Post-operative Seroma Causing Spontaneous Nipple Discharge: Diagnosis by Galactography by Ivan E. Ramirez-Hernandez et al.

Published: 2013 May
Issue: 7(5) :: Pages: 16-22


Free full text article: Post-operative Seroma Causing Spontaneous Nipple Discharge: Diagnosis by Galactography

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Abstract: Nipple discharge is a common breast complaint in women. Discharge in the post-operative patient for breast cancer is especially concerning, as these women are at higher risk for recurrent or new breast cancer. Galactography is a reliable method to evaluate nipple discharge, attempting to identify a mass that may cause the discharge within the duct of concern. We present two cases of women with spontaneous nipple discharge after lumpectomy for breast cancer. In both cases, evaluation with galactography demonstrated a post-operative seroma that communicated with a native breast duct, causing nipple discharge. This presentation of a post-operative seroma is important to recognize by breast surgeons and breast imagers. Galactography can play an important role in the work up of these patients, demonstrating etiology of the nipple discharge with greater confidence than other imaging modalities.


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Computed Tomography, Conventional Radiography, Table

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Other Radiology articles from the Breast Imaging section Breast Imaging

Unusual Aggressive Breast Cancer: Metastatic Malignant Phyllodes Tumor by Adam Singer et al.

Published: 2013 Feb
Issue: 7(2) :: Pages: 24-37


Free full text article: Unusual Aggressive Breast Cancer:  Metastatic Malignant Phyllodes Tumor

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Abstract: For the year of 2012, it has been estimated that breast cancer will account for the greatest number of newly diagnosed cancers and the second highest proportion of cancer related deaths among women. Breast cancer, while often lumped together as one disease, represents a diverse group of malignancies with different imaging findings, histological appearances and behavior. While most invasive primary breast cancers are epithelial derived adenocarcinomas, rare neoplasms such as the phyllodes tumor may arise from mesenchymal tissue. Compared to the breast adenocarcinoma, the phyllodes tumor tends to affect a younger population, follows a different clinical course, is associated with different imaging and histological findings and is managed distinctively. There may be difficulty in differentiating the phyllodes tumor from a large fibroadenoma, but the mammographer plays a key role in reviewing the clinical and imaging data in order to arrive at the correct diagnosis. Early diagnosis with proper surgical management can often cure non-metastatic phyllodes tumors. However, in rare cases where metastasis occurs, prognosis tends to be poor. This report describes the presentation, imaging findings and management of a metastatic malignant phyllodes tumor.


Available image modalities: (click on modality to browse for other articles)
Computed Tomography, Microscopic pathology, Macroscopic pathology, Conventional Radiography, Nuclear Medicine, Magnetic Resonance Imaging, Ultrasound, Table

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Other Radiology articles from the Breast Imaging section Breast Imaging

Serial MR Findings and Comprehensive Review of Bilateral Lupus Mastitis with an Additional Case Report by Andrew D Mosier et al.

Published: 2013 Jan
Issue: 7(1) :: Pages: 48-58


Free full text article: Serial MR Findings and Comprehensive Review of Bilateral Lupus Mastitis with an Additional Case Report

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Abstract: Lupus Mastitis (LM) is a rare presentation of lupus panniculitis involving the breast. Because it often presents as a tender palpable mass, a workup for malignancy usually ensues. It is well documented that surgery may worsen the condition; therefore, it is important to consider LM in the differential of a palpable breast mass in patients with systemic lupus erythematosus (SLE). Currently, management of LM remains primarily medical. We discuss the multi-disciplinary work-up of LM, and further describe its appearance on serial Magnetic Resonance (MR) exams.


Available image modalities: (click on modality to browse for other articles)
Conventional Radiography, Ultrasound, Microscopic pathology, Magnetic Resonance Imaging, Table

6 interactive image stacks available! ...scroll, window/level, magnify, pan, MPR and more! View them now!





Other Radiology articles from the Breast Imaging section Breast Imaging

Dracunculiasis of the Breast: Radiological Manifestations of a Rare Disease by Shannon K. Barry et al.

Published: 2012 Nov
Issue: 6(11) :: Pages: 29-33


Free full text article: Dracunculiasis of the Breast:  Radiological Manifestations of a Rare Disease

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Abstract: Dracunculiasis of the breast is a rare manifestation of prior infection with the parasite dracunculus medinensis (guinea worm). We describe a case of a 60-year-old woman, who had recently emigrated from Cameroon. She presented for an annual screening mammogram and was found to have coarse linear or coiled serpiginous calcifications. These findings were recognized as calcified guinea worms within the breast tissue. This case report aims to highlight the mammographic findings of this rare infectious disease.


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Conventional Radiography, Table





Other Radiology articles from the Breast Imaging section Breast Imaging

Breast Fibromatosis Response to Tamoxifen: Dynamic MRI Findings and Review of the Current Treatment Options by Michael J. Plaza et al.

Published: 2012 Mar
Issue: 6(3) :: Pages: 16-23


Free full text article: Breast Fibromatosis Response to Tamoxifen:  Dynamic MRI Findings and Review of the Current Treatment Options

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Abstract: Breast fibromatosis is a rare entity responsible for 0.2% of all solid breast tumors. It has been associated with scars, pregnancy, implants, and familial adenomatous polyposis. We present an interesting case of breast fibromatosis in a 29 year old woman which encroached upon her saline implant and subsequently filled its cavity once the implant was removed. The patient was put on tamoxifen therapy and at 14 month follow-up there was a significant decrease in the size of the mass. Dynamic MRI images are offered for review and current treatment options are discussed.


Available image modalities: (click on modality to browse for other articles)
Conventional Radiography, Ultrasound, Magnetic Resonance Imaging, Microscopic pathology, Table

7 interactive image stacks available! ...scroll, window/level, magnify, pan, MPR and more! View them now!





Other Radiology articles from the Breast Imaging section Breast Imaging

Benign Breast Cyst without Associated Gynecomastia in a Male Patient: A Case Report by Sana Parsian et al.

Published: 2011 Nov
Issue: 5(11) :: Pages: 35-40


Free full text article: Benign Breast Cyst without Associated Gynecomastia in a Male Patient: A Case Report

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Abstract: Benign simple breast cysts are commonly seen in female breasts and can present as palpable masses. They are distinctly uncommon, however, in the male breast. We report a case of simple benign cyst of the breast in a 58-year-old man newly diagnosed with mantel cell lymphoma. The cyst was first identified incidentally on a staging contrast-enhanced chest computed tomography. Further evaluation with mammography and ultrasound revealed a mass that would be typically characterized as a benign simple cyst, but was biopsied since cysts are not known to occur in male breasts. Pathology results from ultrasound-guided core needle biopsy revealed benign cyst and focal fibrosis which was concordant with the imaging findings. In this case report, we will briefly discuss breast cysts in men and their imaging features including mammography and ultrasound.


Available image modalities: (click on modality to browse for other articles)
Computed Tomography, Conventional Radiography, Ultrasound, Microscopic pathology, Table

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Other Radiology articles from the Breast Imaging section Breast Imaging

Primary Breast Lymphoma: A Rare Entity by Debra Meerkotter et al.

Published: 2011 May
Issue: 5(5) :: Pages: 1-9


Free full text article: Primary Breast Lymphoma: A Rare Entity

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Abstract: In the past two decades there has been an increase in the incidence of Non-Hodgkin Lymphoma and Hodgkin disease. This has been accompanied by an increase in the numbers of extranodal lymphoma. Despite this primary breast lymphoma is a rare disease. We present a case of a 74 year old female with primary breast lymphoma. Methods of imaging including PET/CT are discussed. Criteria for diagnosing primary breast lymphoma are presented. In addition diagnostic methods and therapeutic options are considered.


Available image modalities: (click on modality to browse for other articles)
Conventional Radiography, Ultrasound, Microscopic pathology, Nuclear Medicine, Table

3 interactive image stacks available! ...scroll, window/level, magnify, pan, MPR and more! View them now!





Other Radiology articles from the Breast Imaging section Breast Imaging

Gossypiboma of the Breast: Imaging Findings by Sibel Kul et al.

Published: 2010 Oct
Issue: 4(10) :: Pages: 21-25


Free full text article: Gossypiboma of the Breast: Imaging Findings

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Abstract: We report a case of retained surgical sponge in the breast with its sonographic and magnetic resonance (MR) imaging findings. Striped and spotted low signal intensity structures seen within the lesion on T2 weighted MR imaging was characteristic. Sonographic examination also was helpful with the appearance of strong posterior acoustic shadowing at the lesion. It is extremely rare, to see a gossypiboma in the breast. A high degree of suspicion and imaging findings are very important for the diagnosis.


Available image modalities: (click on modality to browse for other articles)
Ultrasound, Magnetic Resonance Imaging, Table

4 interactive image stacks available! ...scroll, window/level, magnify, pan, MPR and more! View them now!





Other Radiology articles from the Breast Imaging section Breast Imaging

Mammary Duct Ectasia in a Man with Liver Disease, End Stage Renal Failure, and Adjacent Arteriovenous Fistula by Elliot Dickerson et al.

Published: 2010 Aug
Issue: 4(8) :: Pages: 36-41


Free full text article: Mammary Duct Ectasia in a Man with Liver Disease, End Stage Renal Failure, and Adjacent Arteriovenous Fistula

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Abstract: Mammary duct ectasia is a rare finding in males. We report a case of mammary duct ectasia in a 58 year old male with liver failure and end stage renal failure. We discuss radiology findings of mammary duct ectasia as well as potential risk factors and management options for symptomatic male mammary duct ectasia.


Available image modalities: (click on modality to browse for other articles)
Conventional Radiography, Ultrasound, Macroscopic pathology, Microscopic pathology, Table





Other Radiology articles from the Breast Imaging section Breast Imaging

Gynaecomastia associated with highly active antiretroviral therapy (HAART) by Debra Meerkotter

Published: 2010 Jul
Issue: 4(7) :: Pages: 34-40


Free full text article: Gynaecomastia associated with highly active antiretroviral therapy (HAART)

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Abstract: There is a global Acquired Immune Deficiency Syndrome (AIDS) epidemic. It is estimated that the total number of people living with Human Immune deficiency Virus (HIV) is 33.2 million in the year 2007. An estimated 2.1 million people died from AIDS in 2007. As highly active antiretroviral therapy (HAART) becomes more widely used, the side effects of this regime are becoming more evident in clinical practice. We present 2 cases that demonstrate the association of HAART and gynaecomastia. Imaging features of gynaecomastia and the differential for these changes will be reviewed. Proposed mechanisms for the pathogenesis of gynaecomastia will be discussed. Possible therapeutic options will also be briefly considered.


Available image modalities: (click on modality to browse for other articles)
Conventional Radiography, Ultrasound, Table





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