Breast Mass Case # 5            Case: 1    2    3    4    5    6    7    8    9    <<Back    Next>>
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63 year old female with new palpable left breast mass
Sagittal T2W Sagittal T2W FS Axial T1W Axial T1W FS post gad
ln_t2.gif (31455 bytes) ln_t2fs.gif (27341 bytes) ln_t1.gif (37220 bytes) lnode_pg.gif (42981 bytes) 
Smooth macrolobulated mass, low T2W signal, high T2W FS signal, intermediate T1W signal
Dynamic post gadolinium T1W FS
ln_d1.gif (28877 bytes) ln_d2.gif (45506 bytes) ln_d3.gif (43677 bytes) ln_d4.gif (41441 bytes)
Enhancement curve
mj_roi_ln.jpg (38656 bytes) mj_graph_ln.jpg (22065 bytes) 
Prompt enhancement with washout
Subtraction

mj_ln_s1.gif (66935 bytes)
First post-enhancement phase

mj_ln_s2.gif (56972 bytes)
Third post-enhancement phase

 
Mammogram:  Well-circumscribed round mass in the upper outer quadrant is stable and benign in appearance
Ultrasound
lnode_us.jpg (25914 bytes)ln_us_color.jpg (154190 bytes) Solid nodule with an echogenic center and blood flow suggesting hilar flow within a lymph node 
Diagnosis: Lymph node, negative for metastatic disease
Enhancement curves have not been evaluated in nodal disease.