PMC5612787_01
A MRI scan in axial plane, T1 weighted. Seroma mimicking breast implants. B MRI scan in axial plane, T2 weighted. Seroma mimicking breast implants. The right breast presents with dark septas as a sign of fluid.
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In July 2016 an MRI showed "...two retro-pectoral accumulations with a thick surrounding capsule which have the morphology, appearance and position analogous to breast prostheses..." (Fig. 1A and B).
Patient before surgery. Bilateral swelling of the breasts.
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In September 2016 the patient was referred to our department for examination on suspicion of implants or seroma (Fig. 2). The patient had only intention of surgery on the right breast because of pain, and wanted no surgical procedures on her left breast even though it seemed an accumulation was in formation on the left side as well (Fig. 2).
Thick capsule from the right breast, with a rough surface containing debris of connective tissue.
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The inside of the capsule showed a rough surface with necrotic appearance (Fig. 3).
At 3 months follow-up. Retraction and reestablishment of seroma in the right breast.
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At follow-up three months after discharge, the right breast was found with retraction due to scar tissue and signs of fluid reestablishment (Fig. 4).