Ultrasound images of lactating breast

This ultrasound image shows prominent and dilated mammary ducts in the lactating breast. The ducts are seen as tubular hypoechoic structures, which widen as they approach the nipple. Sometimes, it may be possible to see fat drops within the milk secretions in the ducts. These appear as mildly echogenic debris within the ducts. Image taken using a Toshiba Nemio 30 ultrasound scanner, courtesy of r. !ikas "rora, India. #eference$ %& 'free article and images(() rated e*cellent&. +arcinoma of breast

,alignant lesion of the breast. These ultrasound images re-eal a hypoechoic, poorly defined, irregular mass in the breast. There is also e-idence of acoustic shadowing posteriorly. These findings on

sonography suggest malignant mass of the breast. Images courtesy of r. Nirmali utta, U"..
+arcinoma of breast$ case(/

The abo-e ultrasound images show a typical pro-en case of cancer of the left breast. The tumor is seen as a well defined hypoechoic mass with microlobulation or fine irregularities of the margins. In addition, the mass shows multiple echogenic areas along the rim a clear sign of malignancy in breast carcinoma. Images are courtesy of #a-i 0adasne, , , U".
1reast cancer( case(3

This lady shows a markedly hypoechoic mass of the right breast, that seems to spread -ertically 'taller than wide&, a sign of malignant nature of the breast tumor. In addition, note the presence of fine irregularities of the margin of the lump. "ll these sonographic findings are suggesti-e of a breast carcinoma. This ultrasound image is courtesy of r. ra-i 0adasne, , , U"..
+arcinoma breast (case(2 Ultrasound images of malignant mass left breast

1ack to top 1(mode and 3 ultrasound image of carcinoma left breast

1ack to top +olor oppler image of breast mass

1ack to top .lastogram( carcinoma breast

1ack to top mammogram of same patient

This patient presented with a painful mass in the left breast. Ultrasound images show an irregular mass which is markedly hypoechoic and shows marked rigidity of the tumor tissue on elastography studies. The elastogram image of the breast mass shows red areas which signify possible increase in tumor rigidity suggesti-e of malignancy. The color oppler ultrasound image also shows significant increase in -ascularity of the breast tumor. The mammography further confirms the presence of a possible malignant tumor in the left breast. This case study is courtesy of r. #ahl 3atil, , , India.
1ack to top 4il cyst of breast

The breast in this patient showed multiple cystic lesions on sonography. #emarkably, there is acoustic shadowing posterior to the cyst. +lear fluid contents are seen within the cystic lesions. ,ammogram of the breast shows rounded lesions with rim calcification, which can e*plain the acoustic shadowing on sonography. Ultrasound images and mammogram suggest calcific oil cysts of the breast. 4il cysts are produced due to fat necrosis with li5uefaction and subse5uent cyst formation, usually following trauma. Images courtesy of r. #a-i 0adasne, U".. Ultrasound images taken using a Toshiba 3ower-ision ultrasound scanner. #eference$ %& http$66www.a7ronline.org6cgi6reprint6%30686%%9:.pdf /& Sonographic assessment of the symptomatic breast ; a pictorial re-iew <alactocele of breast

This young female, lactating patient presented with slowly enlarging mass of the right breast. It was non tender and patient had no h6o pyre*ia. Sonography of the breast shows a 3 cms. si=ed hypoechoic 'almost cystic& lesion with through transmission. +olor doppler images of the breast showed no signficant enhancement of -ascularity. These ultrasound images of the breast suggest <alactocele. <alactoceles are formed by cystic dilatation of the lactiferous ducts and contain milk. They are seen in lactating women. Images taken using a Nemio 30 'Toshiba& machine by r. >aydeep <andhi, ,umbai. #eference$ %&http$66radiology.rsna7nls.org6cgi6reprint6%?96%623.pdf'free article on mammography of galactocele& /&http$66breast(cancer(research.com6content6/6S/6"?3 <alactocele with fluid le-el

This ultrasound image shows a galactocele with a fat(fluid le-el s6o galactocele. The echogenic material is seen to mo-e with change in posture 'arrowed&. Sonography done by r. #a-i 0adasne, U"., using a 3hilips IU // ultrasound machine.
1reast "bscess

Ultrasound imaging of the right breast was done on this your lactating female. She presented with pain and swelling of the right breast and underwent drainage of an abscess. The symptoms recurred for which she underwent sonography. Ultrasound images of the breast re-eal a rounded, almost anechoic lesion with posterior acoustic enhancement. The lesion measures / cms. and has irregular but well defined walls. No internal septae are present. +olor oppler images suggest some increase in -ascularity along the rim of the lesion. @owe-er, the -ascularity may not be prominent due to medication with anti(inflammatory drugs and antibiotics. These ultrasound findings suggest an abscess of the breast. "nother similar lesion is a simple cyst of the breast, which would ha-e well defined but smooth walls.

It may also be difficult to differentiate abscess from galactocele of the breast. +arcinoma of breast would appear hypoechoic but not anechoic 'as in abscess&. #eference$ %http$66www.imaginis.com6breasthealth6ultrasoundAimagesAprint.asp /& http$66emedicine.medscape.com6article6B9%%%8(diagnosis Cibroadenoma of breast

This young female patient presented with a palpable, non(tender, freely mobile small mass of the right breast. 4n sonography of the breast, the mass appeared, o-al, measured %0 * ? mm. and showed smooth margins which were well defined. The lesion was non(calcific and seemed e*tremely mobile on probe pressure. These ultrasound images are suggesti-e of fibroadenoma of the breast. The 3ower oppler image 'bottom right&, shows poor -ascularity of the lesion. #eference$ http$66emedicine.medscape.com6article632?BB:(imaging <iant fibroadenoma or >u-enile fibroadenoma

These ultrasound images of the left breast in a %? yr. old female patient show a large 'the mass measured 9./ cms.&, more or less homogenous, well defined mass with posterior

acoustic enhancement. These findings suggest a diagnosis of giant fibroadenoma of the left breast. The main differential diagnosis in such a case would be phyllodes tumor. @owe-er, phyllodes tumor is seen in females o-er 30 yrs. of age. espite the rapid increase in si=e of the mass, in this case, the potential for malignancy is -ery low. Ultrasound images are courtesy of #a-i 0adasne, , , U".. #eference$ http$66emedicine.medscape.com6article6%99B/9(o-er-iew http$66emedicine.medscape.com6article632?BB:(o-er-iew 3hyllodes tumor of the breast

This 29 year of female patient had a large lump in the medial aspect of the left breast. The ultrasound images of the breast show 'abo-e& a large inhomogenous mass of ?.8 * 3.2 cms. with multiple lobulations and cystic spaces also present. The appearance of the tumor was leaf like in its internal architecture. There is also posterior acoustic enhancement. The images abo-e show minimal internal -ascularity on color oppler ultrasound and 3( ultrasound 'abo-e( right&, show the internal lobulation with typical leaf like pattern on sonography. The age of the patient, large si=e of tumor and typical ultrasound features are highly suggesti-e of this being a 3hyllodes tumor of the left breast. Ultrasound images of 3hyllodes tumor are courtesy of #a-i 0adasne, , , U".. #eferences$ %& http$66radiographics.rsna.org6content6/:636:0B.full.pdfDhtml 'imaging of breast in children and adolescents& /& http$66www.mypacs.net6cases63@EFF4 .S(TU,4#(%?%/2:B.html ' ultrasound imaging findings in 3hyllodes tumor& Cibroadenosis of breast

Benign breast masses:fibroadenosis This young female patient presented with pain in the right breast and Glumpy feelingG on palpation. Sonography of the right breast showed a hypoechoic, lobulated, well defined mass in the breast. " few anechoic spaces 'cystic areas& were also present. Such ultrasound images 'appearances& are usually seen in fibroadenosis of the breast. Cibroadenosis is characteri=ed by pain breast with or without palpable masses 'lumps&. 4n histopathology, there may be microcysts, fibrosis, adenosis of hyperplastic changes of the breast epithelial tissue. #epeat6 follow up ultrasound would usually show resolution of the mass 'usually after % to / months&. It is often difficult to distinguish fibroadenoma from fibroadenosis purely on the basis of sonography alone. 'Ultrasound images are courtesy of r. #a-i 0adasne, U".. @e used a 3hilips IU// ultrasound system here&. #eference$ http$66www.ncbi.nlm.nih.go-6pmc6articles63,+/2/:8??6HpageI% 'free article&. Ultrasound imaging of 1reast implant +ase(%$

1ack to top +ase(/$

1reast implants are mainly of two types( the older silicon gel implants and the newer saline implants. The ultrasound image 'see case(%& shows the silicon gel implant in the right breast. " small amount of fluid 'seroma& is commonly seen around the breast implant for some time after the procedure. +ase (/, shows more ultrasound images 'panoramic -iew& with the implant seen as a large hypoechoic sac in the breast. "gain some fluid is seen around the implant. This appearance 'fluid around the breast implant& may signify the presence of a small leak from the implant. @owe-er this patient did not show more specific signs of implant rupture such as radial folds from the implant surface. 'Ultrasound images are courtesy of #a-i 0adasne, , , U". and Shlomo <obi, sonographer, Israel&. #eference$ http$66radiographics.rsna.org6content6%3686%3/3.full.pdfDhtml'free article and images&( e*cellent.

1ack to top 1reast seroma following lumpectomy for breast carcinoma

This middle aged female patient had a history of carcinoma of the right breast for which she underwent lumpectomy. Ultrasound image 'abo-e left& shows a cystic area in the site of the

lumpectomy with echogenic particles within the lesion. real time ultrasound imaging showed considerable motion of the particulate matter in this lesion. This ultrasound feature is typical of seroma of the breast and represents collection of serous fluid and bloody matter within the empty space formed by remo-al of the breast lump. This is not abnormal and the fluid should be absorbed by the surrounding tissue within a year. @owe-er, this was not the only finding in this patient who showed a lump in the left a*illa$ Ultrasound and color6 3ower oppler images of the left a*illary lump show a typical appearance of a solitary enlarged lymph node with marked -ascularity along the rim of the node. This appearance suggest either inflammatory lympadenitis 'reacti-e& or more ominously, could mean a metastasis to the lymph node. Tuberculous lymph node in-ol-ement typically multiple matted, and hypoechoic nodes with echogenic rim. This node appears to ha-e an echogenic central part with only mild hypoechogenicity of the rim. #eferences

"rticle on seroma of breast following lumpectomy for breast cancer "rticle on sonographic differentiation of lymph node enlargement
carcinoma breast with li-er metastasis

This elderly lady has a solid markedly hypoechoic mass lesion in the right breast, 7ust lateral to the nipple, in the upper lateral 5uadrant. Ultrasound images of this case show a well defined, non(calcific, mass, which is taller than it is wide and has an irregular contour. These are alarming findings and indicate a possible malignant mass of the right breast. In addition, the li-er shows multiple solid, rounded echogenic mass lesions scattered through both lobes of the li-er. Cinal diagnosis confirmed by CN"+ ( carcinoma right breast with li-er metastases.