Breast

A free gallery of high-resolution, ultrasound, color doppler and 3D images

Ultrasound images of the breast:

1) 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 Dr. Vikas Arora, India.

Reference: 1) http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1571528 (free article and images--> rated excellent).

2) Carcinoma of breast:

Malignant lesion of the breast:

These ultrasound images reveal a hypoechoic, poorly defined, irregular mass in the breast. There is also evidence of acoustic shadowing posteriorly. These findings on sonography suggest malignant mass of the breast. Images courtesy of Dr. Nirmali Dutta, UAE.

Carcinoma of breast: case-2:

The above ultrasound images show a typical proven 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 Ravi Kadasne, MD, UAE.

3) Oil cyst of breast:

The breast in this patient showed multiple cystic lesions on sonography. Remarkably, there is acoustic shadowing posterior to the cyst. Clear fluid contents are seen within the cystic lesions. Mammogram of the breast shows rounded lesions with rim calcification, which can explain the acoustic shadowing on sonography. Ultrasound images and mammogram suggest calcific oil cysts of the breast. Oil cysts are produced due to fat necrosis with liquefaction and subsequent cyst formation, usually following trauma. Images courtesy of Dr. Ravi Kadasne, UAE. Ultrasound images taken using a Toshiba Powervision ultrasound scanner.

Reference:

1) http://www.ajronline.org/cgi/reprint/130/6/1189.pdf

2) Sonographic assessment of the symptomatic breast – a pictorial review

4) Galactocele of breast:

This young female, lactating patient presented with slowly enlarging mass of the right breast. It was non tender and patient had no h/o pyrexia. Sonography of the breast shows a 3 cms. sized hypoechoic (almost cystic) lesion with through transmission. Color doppler images of the breast showed no signficant enhancement of vascularity. These ultrasound images of the breast suggest Galactocele. Galactoceles 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 Dr. Jaydeep Gandhi, Mumbai.

Reference: 1) http://radiology.rsnajnls.org/cgi/reprint/158/1/43.pdf (free article on mammography of galactocele)

2) http://breast-cancer-research.com/content/2/S2/A53

Galactocele with fluid level:

This ultrasound image shows a galactocele with a fat-fluid level s/o galactocele. The echogenic material is seen to move with change in posture (arrowed). Sonography done by Dr. Ravi Kadasne, UAE, using a Philips IU 22 ultrasound machine.

5) Breast Abscess:

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 reveal a rounded, almost anechoic lesion with posterior acoustic enhancement. The lesion measures 2 cms. and has irregular but well defined walls. No internal septae are present. Color Doppler images suggest some increase in vascularity along the rim of the lesion. However, the vascularity may not be prominent due to medication with anti-inflammatory drugs and antibiotics. These ultrasound findings suggest an abscess of the breast.

Another similar lesion is a simple cyst of the breast, which would have well defined but smooth walls. It may also be difficult to differentiate abscess from galactocele of the breast. Carcinoma of breast would appear hypoechoic but not anechoic (as in abscess).

Reference: 1) http://www.imaginis.com/breasthealth/ultrasound_images_print.asp

2) http://emedicine.medscape.com/article/781116-diagnosis

6) Fibroadenoma of breast:

This young female patient presented with a palpable, non-tender, freely mobile small mass of the right breast. On sonography of the breast, the mass appeared, oval, measured 10 x 5 mm. and showed smooth margins which were well defined. The lesion was non-calcific and seemed extremely mobile on probe pressure. These ultrasound images are suggestive of fibroadenoma of the breast. The Power Doppler image (bottom right), shows poor vascularity of the lesion.

Reference: http://emedicine.medscape.com/article/345779-imaging

Giant fibroadenoma or Juvenile fibroadenoma:

These ultrasound images of the left breast in a 15 yr. old female patient show a large (the mass measured 8.2 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. However, phyllodes tumor is seen in females over 30 yrs. of age. Despite the rapid increase in size of the mass, in this case, the potential for malignancy is very low. Ultrasound images are courtesy of Ravi Kadasne, MD, UAE.

Reference: http://emedicine.medscape.com/article/188728-overview

http://emedicine.medscape.com/article/345779-overview

7) Fibroadenosis of breast:

Benign breast masses: fibroadenosis:

This young female patient presented with pain in the right breast and "lumpy feeling" on palpation. Sonography of the right breast showed a hypoechoic, lobulated, well defined mass in the breast. A few anechoic spaces (cystic areas) were also present. Such ultrasound images (appearances) are usually seen in fibroadenosis of the breast. Fibroadenosis is characterized by pain breast with or without palpable masses (lumps). On histopathology, there may be microcysts, fibrosis, adenosis of hyperplastic changes of the breast epithelial tissue. Repeat/ follow up ultrasound would usually show resolution of the mass (usually after 1 to 2 months). It is often difficult to distinguish fibroadenoma from fibroadenosis purely on the basis of sonography alone. (Ultrasound images are courtesy of Dr. Ravi Kadasne, UAE. He used a Philips IU22 ultrasound system here).

Reference: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2429655/?page=1 (free article).

8) Ultrasound imaging of Breast implant:

Case-1:

Case-2:

Breast implants are mainly of two types- the older silicon gel implants and the newer saline implants. The ultrasound image (see case-1) shows the silicon gel implant in the right breast. A small amount of fluid (seroma) is commonly seen around the breast implant for some time after the procedure. Case -2, shows more ultrasound images (panoramic view) with the implant seen as a large hypoechoic sac in the breast. Again 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. However this patient did not show more specific signs of implant rupture such as radial folds from the implant surface. (Ultrasound images are courtesy of Ravi Kadasne, MD, UAE and Shlomo Gobi, sonographer, Israel).

Reference: http://radiographics.rsna.org/content/13/6/1323.full.pdf+html (free article and images)- excellent.

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This page was last edited on: Saturday May 29, 2010 02:35 PM

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