EURORAD ESR

Case 13534

Lactating accessory axillary breast tissue with supernumerary nipples along the milk line in a puerpera

Author(s)
Isabel Sousa, Olga Fouto, Afonso Gonçalves, José Fonseca Santos

Radiology Department,
Hospital de Santa Maria,
Centro Hospitalar Lisboa Norte, EPE
 
Patient
female, 35 year(s)
 
 
  • Figure 1
    US examination of the left axilla

    Longitudinal plane of the left axilla, depicting several tubular anechoic structures compatible with lactating milk ducts, with a vascularized stroma between them.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 2
    US examination of the left axilla

    Axial plane of the left axilla depicting similar findings to those in Fig. 1.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 3
    Photograph of the left axilla.

    The clinically detected tumefaction, with a nipple in its center, is shown. It was found to correspond to accessory axillary breast tissue with lactation changes.

     
    Area of Interest: Breast; Imaging Technique: Image manipulation / Reconstruction; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 4
    Photograph of the right axilla

    A supernumerary nipple (center of the picture) is depicted.

     
    Area of Interest: Breast; Imaging Technique: Image manipulation / Reconstruction; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 5
    Photograph of the left infra-mammary region

    Another supernumerary nipple (caudal to the left breast) is shown, slightly indurated and tumefactive.

     
    Area of Interest: Breast; Imaging Technique: Image manipulation / Reconstruction; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
Longitudinal plane of the left axilla, depicting several tubular anechoic structures compatible with lactating milk ducts, with a vascularized stroma between them.
 
Axial plane of the left axilla depicting similar findings to those in Fig. 1.
 
The clinically detected tumefaction, with a nipple in its center, is shown. It was found to correspond to accessory axillary breast tissue with lactation changes.
 
A supernumerary nipple (center of the picture) is depicted.
 
Another supernumerary nipple (caudal to the left breast) is shown, slightly indurated and tumefactive.
 
 
 
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