161

Case 161

Case History

A 52-year-old woman has had the same saline implants for over 25 years. After partial mastectomy for breast cancer, the woman noticed that her left breast is larger than her right and there is a new thickening in the lumpectomy site.

Physical Examination

• right breast: mild nodularity of healing scar in the inner inferior breast; right breast smaller than left breast

• left breast: normal exam

Mammogram (Fig. 161–1)

Figure 161–1. Patient has bilateral saline implants. The tubular structure (arrows) is the valve that was used to fill the implant. The right implant has ruptured and completely collapsed. The clips mark the location of the recent lumpectomy. (A). Right MLO mammogram. (B). Left MLO mammogram. (C). Right CC mammogram. (D). Left CC mammogram.

Ultrasound (Figs. 161–2 and 161–3)

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