PMC6028662_01
Noncontract MRI of the breast on initial presentation.
gr1.jpg
PMC6028662_01_gr1.jpg
fig0005
The patient received a non-contrast MRI about 9 months later due to concern for implant rupture (Fig. 1).
Contrast enhanced MRI of the breast.
gr2.jpg
PMC6028662_01_gr2.jpg
fig0010
The second MRI again showed the 13 cm encapsulated complex mass in the outer half of the left breast (Fig. 2).
Presentation prior to surgery.
gr3.jpg
PMC6028662_01_gr3.jpg
fig0015
The mass was large, firm and malodourous (Fig. 3).
Current CT scan. The implant has been extruded and a large heterogeneous mass is seen.
gr4.jpg
PMC6028662_01_gr4.jpg
fig0020
A chest, abdomen, and pelvis CT with contrast showed her left breast mass to now measure 23 x 15 cm (Fig. 4).
Final specimen showing a predominately well-organized hematoma and a foreign body reaction.
gr5.jpg
PMC6028662_01_gr5.jpg
fig0025
The final pathology of her breast mass (23.0 x 21.3 x 10.8 cm) demonstrated gross and microscopic changes consistent with ruptured silicone implant and subsequent hematoma, abscess, and skin ulceration; negative for malignancy (Fig. 5).