Breast Mass Case # 6            Case: 1    2    3    4    5    6    7    8    9    <<Back    Next>>
Click on image to enlarge, use browser Back button to return

63 year old female two months s/p left lumpectomy for invasive lobular carcinoma
Sagittal T2W Sagittal T2W FS Axial T1W Axial T1W FS post gad
ilob_t2.gif (31455 bytes) ilob_t2fs.gif (31575 bytes) ilob_t1gif.gif (37052 bytes) ilob_t1pg.gif (54477 bytes) 
Spiculated mass adjacent to chest wall, intermediate T2W signal, intermediate T2W FS signal, intermediate T1W signal
Dynamic post gadolinium T1W FS
ilob_g1.gif (41773 bytes) ilob_g2.gif (42877 bytes) ilob_g3.gif (50640 bytes) ilob_g4.gif (48737 bytes)
Enhancement curve
mj_roi_il.jpg (32482 bytes) mj_graph_il.jpg (21762 bytes) 
 Slow progressive enhancement (Type Ia)
Subtraction

mj_il_s1.gif (81254 bytes)
First post-enhancement phase

mj_il_s2.gif (54241 bytes)
Third post-enhancement phase

 
Mammogram: No corresponding abnormality
Ultrasound
ilob_us.jpg (86670 bytes) Ill-defined hypoechoic nodule with shadowing, adjacent to the chest wall 
Diagnosis: Invasive lobular carcinoma, modified Bloom-Richardson grade 2
Interpretation should be based on morphology first; enhancement can vary