Ms. Oest is a 62 year old female with recent diagnostic workup revealing possible silicone leak of the right breast. She presents for MRI for further evaluation. This is a technical repeat study. There is scattered fibroglandular tissue in both breasts. Minimal parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen in either breast. Retroglandular silicone implants are present bilaterally. There is a linguine sign in the implant of the right breast, consistent with intracapsular rupture. In addition, there is an area of silicone signal in the right upper outer quadrant, consisting with silicone granuloma due to extracapsular silicone leakage.The left breast silicone implant appears intact.Silicone signal is also present in multiple right axillary lymph nodes, consistent with silicone adenitis. These findings are compatible with sonographic and mammographic findings.No abnormal lymph nodes are identified in the left axillary region.
1. Intracapsular rupture of silicone implant of right breast2. Silicone granuloma due to extracapsular silicone leakage in the right breast, and silicone adenitis of right axillary lymph nodes3. Left implant appears intact4. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.