PMC3424916_01
Bilateral diagnostic mammogram with (a) MLO and (b) CC views demonstrates new spiculated masses throughout both breasts (arrows) which were all initially suspicious for carcinoma.
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F1
Breast Imaging Department with printed copies of her digital bilateral mammogram images which were taken at an outside facility on 11/11/2011. Bilateral mediolateral oblique (MLO) and craniocaudal (CC) views were reviewed and demonstrated multiple new irregular spiculated masses within all quadrants of both breasts most prominent in the right upper outer quadrant and the left lower inner quadrant [Figure 1].
Comparison mammogram (a) MLO and (b) CC views 1 year prior shows only normal scattered fibroglandular breast tissue with no abnormal masses present.
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F2
These mammograms were compared to her prior images which were dated 06/01/2010, also from an outside facility [Figure 2].
Gray-scale sonograhic image of the right breast demonstrates an irregular hypoechoic mass with angular margins (arrow). Similar masses were present in the bilateral breasts at nearly every clock position by ultrasound. This mass was biopsy proven to be sarcoidosis.
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F3
Ultrasound of the bilateral breasts demonstrated multiple hypoechoic, taller than wide irregular masses with angular margins throughout both breasts at nearly every clock position [Figure 3].
Gray-scale sonographic image of the left breast at the 6:00 o'clock position at the site of known lobular carcinoma also demonstrates an irregular hypoechoic mass (arrow).
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Park, IL) of the most suspicious appearing masses bilaterally at 6:00 and 11:00 o'clock position in the left breast and at 6:00 and 12:00 o'clock positions in the right breast. Pathology results of the left breast lesion at the 6:00 o'clock position showed invasive lobular carcinoma Nottingham combined histologic Grade II/III moderately differentiated [Figure 4].
Axial MRI T1WI post contrast fat saturation subtracted images of the bilateral breasts (a) Breast sarcoidosis presents as multiple patchy bilateral areas of non-mass enhancement (arrows) (b) Known left breast lobular carcinoma at 6:00 o'clock position (arrow) with susceptibility artifact from biopsy clip is indistinguishable from the surrounding sarcoid lesions.
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The MRI demonstrated patchy areas of non-mass enhancement throughout all quadrants of both breasts [Figure 5a]. The patient's known invasive lobular carcinoma in the left breast at the 6:00 o'clock position was indistinguishable from the known sarcoid lesions [Figure 5b].