Left saline implant is deviated versus ruptured, patient has swelling and pain Intravenous contrast was not administered. This is for implant evaluation.A double lumen retropectoral implant identified in the left breast. The central saline component and outside silicone component is noted. No evidence of extra or intracapsular extension. Multiple foci of saline component identified along the lateral aspect of the saline component of the implant which could be seen due to a leak in the saline component of the double lumen implant.There is scattered fibroglandular tissue in both breasts. 5 mm focus in the left breast 6:00 position most likely corresponds to a benign intramammary lymph node. Another benign intramammary lymph node with similar morphology identified in the left lower axillary region.Noted is a collapsed shrunken right retropectoral double lumen implant. Multiple enlarged left axillary and left subpectoral lymph nodes (at least 4) are identified. Referenced left deep axillary lymph node measures 19 x 18 mm.No evidence of right axillary lymphadenopathy.
1. Collapse trunk and right retropectoral double lumen implant.2. No evidence of intra or extracapsular extension noted off the left retropectoral double lumen implant. Few small foci of saline component identified along the lateral aspect of the saline component of the implant which could be seen due to a leak in the saline component of the double lumen implant.3. Enlarged left axillary and retropectoral lymph nodes. Further evaluation with left axillary ultrasound is recommended. Patient is 30 years old, if left axillary lymph nodes appear suspicious on ultrasound, bilateral diagnostic mammogram can be performed.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: E - Additional Mammo/Ultrasound Workup Required.