EURORAD ESR

Case 14144

Idiopathic granulomatous mastitis

Author(s)
Funda Dinç Elibol1, Cenk Elibol1, Ahmet Korkut Belli2, Okay Nazlı2

Department of Radiology1, Mugla Sitki Kocman University Education and Research Hospital, Mugla/Turkey
Department of General Surgery2, Mugla Sitki Kocman University Education and Research Hospital, Mugla/Turkey
Email:fundadi@yahoo.com
 
Patient
female, 27 year(s)
 
 
  • Figure 1
    1 month follow-up US
     

    The first month control US showed hypoechoic lesions containing internal echoes with tubular hypoechoic extension. The initial sonogram showed just periareolar focal hypoechogenicity with minimal acoustic shadowing.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Abscess delineation; Special Focus: Inflammation;

    The other sonographic findings were tubular hypoechoic lesions containing internal echoes which were communicating with each other via thinner tubular extensions.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Abscess delineation; Special Focus: Inflammation;

    US revealed heterogenicity containing hypoechoic tubuler and spheric lesions with irreguler margins in periareolar region of left breast.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Abscess delineation; Special Focus: Inflammation;

    US revealed hypoechoic heterogeneous mass with tubular extensions, lobulated and irregular margins in the periareolar region of the left breast (BI-RADS 4).

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Abscess delineation; Special Focus: Inflammation;

    US also revealed heterogeneity on fibroglandular tissue and well-defined hypoechoic spheric and tubular masses containing internal echoes.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Abscess delineation; Special Focus: Inflammation;
     
     
  • Figure 2
    Doppler US

    Doppler US showed peripheral vascularity of hypoechoic lesions.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound-Power Doppler; Procedure: Abscess delineation; Special Focus: Inflammation;
     
     
  • Figure 3
    Movie of real-time ultrasound (the first month)
     

    Movie of real-time US showed BI-RADS 4 lesions which were masses containing internal echoes with smooth and indistinct margins connected to each other via tubular structures and heterogenicity in the periareolar...

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Abscess delineation; Special Focus: Inflammation;

    Movie of real-time US showed BI-RADS 4 lesions which were masses containing internal echoes with smooth and indistinct margins connected to each other via tubular structures and heterogenicity in the periareolar...

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Abscess delineation; Special Focus: Inflammation;
     
     
  • Figure 4
    Breast MRI
     

    T2 STIR axial images showed a heterogeneous hyperintense regional non-mass on the left breast.

     
    Area of Interest: Breast; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Inflammation;

    Post-contrast initial phase images showed heterogeneous enhancing regional non-mass enhancement with irregular margin on the left breast.

     
    Area of Interest: Breast; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Inflammation;

    Post-contrast subtraction delayed phase axial images revealed progressive heterogeneous non-mass ehnacement.

     
    Area of Interest: Breast; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Inflammation;
     
     
The first month control US showed hypoechoic lesions containing internal echoes with tubular hypoechoic extension. The initial sonogram showed just periareolar focal hypoechogenicity with minimal acoustic shadowing.
 
The other sonographic findings were tubular hypoechoic lesions containing internal echoes which were communicating with each other via thinner tubular extensions.
 
US revealed heterogenicity containing hypoechoic tubuler and spheric lesions with irreguler margins in periareolar region of left breast.
 
US revealed hypoechoic heterogeneous mass with tubular extensions, lobulated and irregular margins in the periareolar region of the left breast (BI-RADS 4).
 
US also revealed heterogeneity on fibroglandular tissue and well-defined hypoechoic spheric and tubular masses containing internal echoes.
 
Doppler US showed peripheral vascularity of hypoechoic lesions.
 
Movie of real-time US showed BI-RADS 4 lesions which were masses containing internal echoes with smooth and indistinct margins connected to each other via tubular structures and heterogenicity in the periareolar region of the left breast.
 
Movie of real-time US showed BI-RADS 4 lesions which were masses containing internal echoes with smooth and indistinct margins connected to each other via tubular structures and heterogenicity in the periareolar region of the left breast.
 
T2 STIR axial images showed a heterogeneous hyperintense regional non-mass on the left breast.
 
Post-contrast initial phase images showed heterogeneous enhancing regional non-mass enhancement with irregular margin on the left breast.
 
Post-contrast subtraction delayed phase axial images revealed progressive heterogeneous non-mass ehnacement.
 
 
 
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