Soesbe TC, Ahn RW, Ren L, Seiler S, Abadia A, Hallam KA, Lewis MA. Evaluating silicone breast implant rupture with photon-counting CT and volumetric silicone maps.
Radiol Case Rep 2024;
19:3425-3428. [PMID:
38881621 PMCID:
PMC11176558 DOI:
10.1016/j.radcr.2024.05.016]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2024] [Revised: 05/02/2024] [Accepted: 05/03/2024] [Indexed: 06/18/2024] Open
Abstract
We present a case of an 81-year-old woman who presented to the emergency department with bleeding from a right breast wound. The patient had prior imaging suggestive of bilateral silicone implant rupture and a history of low tolerance for MRI scans. Ultrasound imaging in the emergency setting showed findings in the right breast suggestive of a fistula with free silicone and hematoma. A subsequent photon-counting CT scan with custom silicone-specific segmentation allowed differentiation of silicone from hematoma, provided anatomic assessment and location of the fistula, and revealed bilateral silicone-induced lymphadenopathy.
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