| 51 year old female with s/p mastectomy and DIEP flap for invasive lobular involving the chest wall, + nodes |
| Axial T1W FS post gad |
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MRI: 1.1-cm round spiculated mass in DIEP flap (first imaging study since surgery)
| Dynamic post gadolinium T1W FS Sagittal |
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| Subtraction |
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Progressive enhancement of mass
| Ultrasound |
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| Diagnosis: Dense fibrosis with focal histiocytic reaction |
| This mass was felt to be very suspicious. Ultrasound-guided needle biopsy was negative. The patient declined excisional biopsy and is undergoing close interval follow-up. |
