Chest Wall Lipogranuloma after Hydrogel Implant Rupture: Case Report
Investigative Magnetic Resonance Imaging
;
: 191-195, 2015.
Article
in English
| WPRIM
| ID: wpr-90699
ABSTRACT
We present a 53-year-old woman with a large chest wall mass in the interpectoral space, which was eventually confirmed as a lipogranuloma resulting from hydrogel implant rupture. Ultrasonography (US) showed reduced implant volume with surrounding peri-implant fluid collection, suggesting the possibility of implant rupture. A heterogeneously hypoechoic mass was found between the pectoralis major and minor muscles adjacent to the ruptured implant. On magnetic resonance imaging (MRI), there was a large mass in the left interpectoral space of the upper inner chest wall. The mass showed slightly high signal intensity (SI) on pre-contrast T1-weighted image (WI) with mixed iso and high SI on T2-WI. The signal of the mass was suppressed using the water suppression technique but not with the fat suppression technique on T2-WI. The mass showed diffuse enhancement upon contrast enhancement. The enhancing kinetics showed persistent enhancement pattern. US-guided core needle biopsy revealed a lipogranuloma and removal confirmed a ruptured PIP hydrogel implant.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Rupture
/
Thorax
/
Breast
/
Magnetic Resonance Imaging
/
Water
/
Kinetics
/
Ultrasonography
/
Hydrogels
/
Thoracic Wall
/
Biopsy, Large-Core Needle
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Investigative Magnetic Resonance Imaging
Year:
2015
Type:
Article
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