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Liponecrosis Macrocystica Calcificans (Oil cyst)

Sutcliffe JBS - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Liponecrosis Macrocystica Calcificans (Oil cyst)

History: 31 year old female presents for diagnostic mammogram for palpable right breast lump. Patient states mass enlarging over past 11-12 months during pregnancy however stable to slightly decreased in size since cessation of lactation 2 months prior.

Findings: Mammographic images demonstrate a well defined, spherical, lucent mass with a thin calcified rim within the breast parenchyma. Ultrasound images demonstrate a well defined hypoechoic ovoid mass with a thin capsule, edge shadows, and no posterior acoustic enhancement. MRI demonstrates a well defined, nonenhancing mass with a thin capsule with fat signal content characteristics.

Ddx: Oil cyst (Fat Necrosis) Lipoma Harmartoma (fibroadenolipoma)

Dxhow: The combination of mammographic, ultrasound, and MRI characteristics exclude all other diagnosis. The mammographic appearance of a well defined, lucent mass, with thin "egg shell" rim calcifications combined with the MRI confirmation of lipid contents confirmed the diagnosis without need for biopsy.

Exam: Physical exam of right breast demonstrates a firm mobile nontender lump in the upper outer quadrant of the right breast

No MeSH data available.


Spot compression medial-lateral ML mammograph demonstrates persistence of the mass despite compression
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Related In: Results  -  Collection

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MPX1829_synpic20820: Spot compression medial-lateral ML mammograph demonstrates persistence of the mass despite compression


Liponecrosis Macrocystica Calcificans (Oil cyst)

Sutcliffe JBS - MedPix

Spot compression medial-lateral ML mammograph demonstrates persistence of the mass despite compression
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1829&req=5

MPX1829_synpic20820: Spot compression medial-lateral ML mammograph demonstrates persistence of the mass despite compression

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Liponecrosis Macrocystica Calcificans (Oil cyst)

History: 31 year old female presents for diagnostic mammogram for palpable right breast lump. Patient states mass enlarging over past 11-12 months during pregnancy however stable to slightly decreased in size since cessation of lactation 2 months prior.

Findings: Mammographic images demonstrate a well defined, spherical, lucent mass with a thin calcified rim within the breast parenchyma. Ultrasound images demonstrate a well defined hypoechoic ovoid mass with a thin capsule, edge shadows, and no posterior acoustic enhancement. MRI demonstrates a well defined, nonenhancing mass with a thin capsule with fat signal content characteristics.

Ddx: Oil cyst (Fat Necrosis) Lipoma Harmartoma (fibroadenolipoma)

Dxhow: The combination of mammographic, ultrasound, and MRI characteristics exclude all other diagnosis. The mammographic appearance of a well defined, lucent mass, with thin "egg shell" rim calcifications combined with the MRI confirmation of lipid contents confirmed the diagnosis without need for biopsy.

Exam: Physical exam of right breast demonstrates a firm mobile nontender lump in the upper outer quadrant of the right breast

No MeSH data available.