PMC6180881_01
PMC6180881_02
B-mode ultrasound (a) and Doppler (b) images of the left breast reveal a hyperechoic subcutaneous mass with internal vascularity.
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fig1
Ultrasonography in the regions of the palpable abnormality (Figure 1) revealed an ill-defined, hyperechoic, subcutaneous mass with internal vascularity measuring 25 x 7 mm in the left supra-areolar region and another mass measuring 22 x 9 mm in the upper outer quadrant of the right breast [breast imaging-reporting and data system (BI-RADS) 4a].
Mammogram of the right and left breasts showing ill-defined asymmetric masses (arrows) on both sides (BI-RADS 4a). The area of abnormality was not seen on the craniocaudal view of the right breast. BI-RADS, breast imaging-reporting and data system.
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fig2
MRI of the left breast depicts isointense focal area of marked fat stranding with overlying skin thickening in the outer half of the left breast that is isointense on T
1 (a) and hyperintense on T
2 weighted (b) and STIR (c), and shows heterogeneous contrast enhancement (d). A lesion of similar signal intensity is seen in the right breast [T
1 weighted (e) with a marker on the abnormal site, STIR (f) and contrast-enhanced T
1 weighted (g)]. STIR, short tau inversion-recovery.
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fig3
Contrast-enhanced dynamic MRI of the breasts (Figures 3 and 4) showed focal areas of marked fat stranding with overlying skin thickening measuring 29 x 24 and 13 x 8 mm superolateral to the left nipple and the right upper outer quadrant, respectively.
MRI of the left breast shows no evidence of restriction on diffusion-weighted imaging (a) and Type I kinetic enhancement curve (b).
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fig4
Contrast-enhanced dynamic MRI of the breasts (Figures 3 and 4) showed focal areas of marked fat stranding with overlying skin thickening measuring 29 x 24 and 13 x 8 mm superolateral to the left nipple and the right upper outer quadrant, respectively.
Histopathological images revealed fibrofatty tissue fragments infiltrated by lymphoplasmacytic cells arranged in a lobular and focally septal distribution.
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fig5
Histopathology (Figure 5) revealed fibrofatty tissue fragments infiltrated by lymphoplasmacytic cells arranged in a lobular and focally septal distribution.