Breast Mass Case # 4            Case: 1    2    3    4    5    6    7    8    9    <<Back    Next>>
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64 year old female with new mass on mammogram
Sagittal T2W Sagittal T2W FS Axial T1W Axial T1W FS post gad
bm_t2.gif (37863 bytes) bm_t2fs.gif (40089 bytes) bm_t1.gif (26882 bytes) bm_axt1pg.gif (31280 bytes)
Spiculated mass, low T2W signal, high T2W FS signal, intermediate T1W signal
Dynamic post gadolinium T1W FS
bm_pg.gif (46900 bytes) bm_g1.gif (44332 bytes) bm_g2.gif (51625 bytes) bm_g3.gif (46124 bytes)
Enhancement curve
bm_roi_1_.jpg (21912 bytes) bm_graph_1_.jpg (12820 bytes)
Slow enhancement with washout
Subtraction

bm_sub1.gif (65083 bytes)
First post-enhancement phase

bm_sub2.gif (58781 bytes)
Third post-enhancement phase

Mammogram: 1.2 cm nodule in the mid upper posterior left breast at the 11-12 o'clock position, new since prior year
Ultrasound
bm_us_1_.jpg (23249 bytes) Irregular, slightly lobulated, isoechoic to slightly hyperechoic mass which was palpable
Diagnosis: Infiltrating lobular carcinoma, alveolar type
Heterogeneous enhancement can mimic nonenhancing septations