PMC6681618_01
Mammography 2004: scattered benign-appearing calcifications and cysts with rim calcified are present in both breasts.
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She admitted undergoing soft tissue augmentation of her breast and buttocks with unknown "silicone oil" in 2001 by an untrained practitioner in Mexico; mammography showed calcifications in both breasts from 2004 (Figure 1).
CT chest 2007: breast predominantly fibrous in composition with multiple well-circumscribed areas of fat throughout the breast parenchyma.
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Abdominal and pelvic computed tomography (CT) revealed extensive infiltration of the soft tissue planes involving breast, back, and gluteal areas (Figures 2 and 3).
CT abdomen/pelvis 2007: extensive subcutaneous fibrosis involving buttocks.
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Abdominal and pelvic computed tomography (CT) revealed extensive infiltration of the soft tissue planes involving breast, back, and gluteal areas (Figures 2 and 3).
100x magnifications showing fibro fatty tissue with chronic granulomatous inflammation, with lymphocytes, few neutrophils, and multinucleated giant cells.
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The histopathological examination of biopsy specimen of breast showed foreign material reaction with microscopic and macroscopic fibrous loculation, giant cell reaction, and fibrosis (Figure 4).
CT chest 2012: extensive Infiltration involving the mediastinum as far back as the spine, most pronounced anteriorly and extending throughout the chest to the diaphragm along with epicardial infiltration.
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However, she continued to have silicone migration to her neck and anterior chest leading to multiple debulking surgeries in 2011 and 2012, and CT chest still showed extensive infiltrative even after multiple debulking procedures (Figure 5).
100x magnifications showing skeletal muscle with chronic granulomatous inflammation.
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The histopathological examination of biopsy specimen from anterior chest revealed muscle tissue with fibrosis, fat necrosis, giant cell reaction with chronic inflammation, and calcifications as shown in Figure 6.
Numerous scattered calcifications and fatty lesions throughout the soft tissues with increased edema in the submandibular and anterior cervical spaces.
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There were numerous scattered calcifications and fatty lesions throughout soft tissue (Figure 7).
Esophagram 2017: 5 mm curvilinear extraluminal contrast collection adjacent to the proximal esophagus at the level of the clavicles.
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Esophagram shown in Figure 8 and esophagogastroduodenoscopy revealed a food bolus impaction at 20 cm with severe narrowing of the esophagus due to external compression by granulomatous mediastinitis.