Focal transitional mastitis in MR-Mammography: Preliminary findings

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Presentation transcript:

Focal transitional mastitis in MR-Mammography: Preliminary findings Clemens G. Kaiser, Matthias Dietzel, Pascal Baltzer, Anna K. Kaiser, Thomas Henzler, Werner A. Kaiser, Julia Knaudt European Journal of Radiology Open Volume 3, Pages 117-122 (January 2016) DOI: 10.1016/j.ejro.2016.05.001 Copyright © 2016 The Author(s) Terms and Conditions

Fig. 1 From left to right: T2w TSE, subtractions 1, 2 and 7min post the injection of 0.1mmol/kg contrast medium. 51-year old patient with fibrocystic desease, presenting with a unilateral, patchy, non-focal area of benign enhancement in the outer aspect of the left breast in 11/2009 (blue arrows). Upon inquiry the patient reported an otitis of the right ear 3 months prior to the scan. In a follow-up examination after 6 months (06/2010) the area of enhancement could no longer be detected. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.) European Journal of Radiology Open 2016 3, 117-122DOI: (10.1016/j.ejro.2016.05.001) Copyright © 2016 The Author(s) Terms and Conditions

Fig. 2 From left to right: T2w TSE, subtractions 1, 2 and 7min post the injection of 0.1mmol/kg contrast medium. 54-year old patient, presenting with an area of unilateral, patchy, non-focal area of enhancement in the right breast in 05/2007 (blue arrows). The patient reported a laryngitis in the close history. In a follow-up examination after 12 months (07/2008) the findings had dissolved completely and did not reappear in further follow-up examinations (04/2011). (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.) European Journal of Radiology Open 2016 3, 117-122DOI: (10.1016/j.ejro.2016.05.001) Copyright © 2016 The Author(s) Terms and Conditions

Fig. 3 From left to right: T2w TSE, subtractions 1, 2 and 7min post the injection of 0.1mmol/kg contrast medium. 55-year old patient with fibrocystic desease, presenting with two small unilateral, patchy, non-focal areas of enhancement in the right breast in 06/2006 (blue arrows). Upon ininquiry, the patient reported she had suffered from viral respiratory tract infection (common flew) a few weeks before the MR-mammogram. In a follow-up examination after 3 months (09/2006) the findings had dissolved completely and did not reappear in further follow-up examinations (09/2009 and 09/2011). (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.) European Journal of Radiology Open 2016 3, 117-122DOI: (10.1016/j.ejro.2016.05.001) Copyright © 2016 The Author(s) Terms and Conditions

Fig. 4 From left to right: T2w TSE, subtractions 1, 2 and 7min post the injection of 0.1mmol/kg contrast medium. 44-year old patient with fibrocystic desease, presenting with a large unilateral, patchy, non-focal area of enhancement in the right breast in April 2010 (blue arrows) after an inconspicuous MR-mammogram in 06/2007. Upon ininquiry, the patient reported she had suffered from a Hordeolum of the right eye two months prior to the examination. In a follow-up examination after 4 months (08/2010) the findings were regredient. In a further follow-up after 14 months (12/2011), the previous findings had dissolved. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.) European Journal of Radiology Open 2016 3, 117-122DOI: (10.1016/j.ejro.2016.05.001) Copyright © 2016 The Author(s) Terms and Conditions

Fig. 5 From left to right: T2w TSE, subtractions 1, 2 and 7min post the injection of 0.1mmol/kg contrast medium. 44-year old patient, presenting with two areas of unilateral, patchy, benign enhancement in the lower aspects of the right breast in 05/2011 (blue arrows). With a patient history of tonsillitis 2 months prior to the MR-Mammogram, a follow-up examination after 6 months in 11/2011 was conducted. See Fig. 6 for a magnification of the right breast. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.) European Journal of Radiology Open 2016 3, 117-122DOI: (10.1016/j.ejro.2016.05.001) Copyright © 2016 The Author(s) Terms and Conditions

Fig. 6 Magnification of the right breast (Fig. 5). From left to right: T2w TSE, subtractions 1, 2 and 7min post the injection of 0.1mmol/kg contrast medium. 44-year old patient, presenting with two areas of unilateral, patchy, benign enhancement in the lower aspects of the right breast in 05/2011 (blue arrows). With a patient history of tonsillitis 2 months prior to the MR-Mammogram, a follow-up examination after 6 months in 11/2011 was conducted. The larger area of enhancement in the outer aspect of the right breast was regredient in size, while the small focus in the inner aspect of the right breast stayed constant in morphology and kinetics. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.) European Journal of Radiology Open 2016 3, 117-122DOI: (10.1016/j.ejro.2016.05.001) Copyright © 2016 The Author(s) Terms and Conditions