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Friday, November 26, 2010

breast cyst

This ultrasound picture shows a simple cyst with normal breast tissue around it. Because this type of cyst usually does not have any tissue or other particles in it, your doctor knows that it is fluid-filled and can be drained if necessary.

breast fibro-adenoma

Ultrasonogram demonstrates a hypoechoic mass with smooth, partially lobulated margins typical of a fibroadenoma.

http://www.google.com.eg/imgres?imgurl=http://img.medscape.com/pi/emed/ckb/radiology/336139-345779-1932.jpg&imgrefurl=http://emedicine.medscape.com/article/345779-overview&usg=__tO5wEe1ECJuuvpxvv0qEyd8rlkM=&h=400&w=432&sz=35&hl=ar&start=15&sig2=PrLsvJOjsA9_PHpveWNIXQ&zoom=1&itbs=1&tbnid=oEbkYKbqzrktdM:&tbnh=117&tbnw=126&prev=/images%3Fq%3Dbreast%2B,fibro%2Badenoma%26hl%3Dar%26gbv%3D2%26tbs%3Disch:1&ei=0h3wTOH6HoqUOvPmrfIJ

breast abscess

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.


D.D. of spiculated breast mass

D.D. of spiculated breast mass
1- carcinoma.
2-radial scar.
3-fat necrosis.

breast radial scar

Radial scar (arrows) with central density.

breast,hamartoma,us

Ultrasonogram demonstrates a 3-cm lobulated circumscribed mass that is predominantly hypoechoic (arrows). Some of the fatty tissue within the lesion is hyperechoic (arrowheads), although this is not seen in all hamartomas.

http://www.google.com.eg/imgres?imgurl=http://download.imaging.consult.com/ic/images/S1933033207712752/gr5-midi.jpg&imgrefurl=http://imaging.consult.com/image/topic/dx/Breast%3Ftitle%3DHamartomas%2520(Breast)%26image%3Dfig5%26locator%3Dgr5%26pii%3DS1933-0332(07)71275-2&usg=__GGlXaFZXLVESuRAP_3Wa4GxZm5A=&h=200&w=194&sz=7&hl=ar&start=1&sig2=9YhcxLxWCD8_KyJ_4waZog&zoom=1&itbs=1&tbnid=fIB9is-QR5OICM:&tbnh=104&tbnw=101&prev=/images%3Fq%3Dbreast%2Bhamartoma,ultrasound%26hl%3Dar%26sa%3DG%26gbv%3D2%26tbs%3Disch:1&ei=8ArwTNL-IsGEOtyjuYMK

breast,hamartoma

Two examples of a hamartoma with dark areas of fat on a fat suppressed T1WI with Gd.

breast fat necrosis

Early fat necrosis in hematoma. This woman had suffered blunt trauma to the chest wall in an automobile accident 3 weeks before the mammogram. This 2-cm lobular circumscribed mass (arrows) contains both fat and soft-tissue density (blood). This completely resolved within 6 months of the trauma.

http://www.google.com.eg/imgres?imgurl=http://download.imaging.consult.com/ic/images/S1933033207712752/gr2-midi.jpg&imgrefurl=http://imaging.consult.com/imageSearch%3Fquery%3Dtissue%26qyType%3DAND%26global_search%3DSearch%26modality%3D%26thes%3Dtrue%26normalVariantImage%3Dfalse%26groupByNode%3Dnone%26anatomicRegion%3D%26modalityFilter%3DMammography&usg=__cPjcJ_19wJ8oniLC9qJup700eEg=&h=148&w=200&sz=3&hl=ar&start=7&sig2=ekkxOLMcJQb1q-rrKBAYJg&zoom=1&itbs=1&tbnid=i4GCw-2kGvn_HM:&tbnh=77&tbnw=104&prev=/images%3Fq%3Dbreast%2Bhamartoma,ultrasound%26hl%3Dar%26sa%3DG%26gbv%3D2%26tbs%3Disch:1&ei=-gfwTMiPCcOcOqzipPoJ

breast amartoma

A 3-cm oval circumscribed mass (arrows) containing both fat and soft-tissue density.

http://www.google.com.eg/imgres?imgurl=http://download.imaging.consult.com/ic/images/S1933033207712752/gr2-midi.jpg&imgrefurl=http://imaging.consult.com/imageSearch%3Fquery%3Dtissue%26qyType%3DAND%26global_search%3DSearch%26modality%3D%26thes%3Dtrue%26normalVariantImage%3Dfalse%26groupByNode%3Dnone%26anatomicRegion%3D%26modalityFilter%3DMammography&usg=__cPjcJ_19wJ8oniLC9qJup700eEg=&h=148&w=200&sz=3&hl=ar&start=7&sig2=ekkxOLMcJQb1q-rrKBAYJg&zoom=1&itbs=1&tbnid=i4GCw-2kGvn_HM:&tbnh=77&tbnw=104&prev=/images%3Fq%3Dbreast%2Bhamartoma,ultrasound%26hl%3Dar%26sa%3DG%26gbv%3D2%26tbs%3Disch:1&ei=-gfwTMiPCcOcOqzipPoJ

breast,hamartoma

At mammography, fibroadenolipoma are typically well-circumscribed, round to oval masses containing both fat and soft-tissue density with a thin, radiopaque pseudocapsule.

http://www.google.com.eg/imgres?imgurl=http://www.radswiki.net/main/images/thumb/7/79/Breast-hamartomas-002.jpg/97px-Breast-hamartomas-002.jpg&imgrefurl=http://www.radswiki.net/main/index.php%3Ftitle%3DFibroadenolipoma&usg=__QmqZY5_p3AJ1HjJPraZkZ8CKrGE=&h=119&w=97&sz=2&hl=ar&start=3&zoom=1&itbs=1&tbnid=qDniGsX3nGcSsM:&tbnh=88&tbnw=72&prev=/images%3Fq%3Dbreast%2Bhamartoma%26hl%3Dar%26sa%3DG%26gbv%3D2%26tbs%3Disch:1

Thursday, November 25, 2010

breast,lipoma

The radiopaque capsule (arrowheads) is visible around all except the most posterior aspect of the mass.

http://www.google.com.eg/imgres?imgurl=http://download.imaging.consult.com/ic/images/S1933033207712892/gr3-midi.jpg&imgrefurl=http://imaging.consult.com/image/topic/dx/Breast%3Ftitle%3DLipoma%2520(Breast)%26image%3Dfig3%26locator%3Dgr3%26pii%3DS1933-0332(07)71289-2&usg=__Xxezrq-JmuA9bY_ir4smb3EdGM4=&h=200&w=190&sz=4&hl=ar&start=1&sig2=NuP5-leUiMRhwNR-4ch6mg&zoom=1&itbs=1&tbnid=LIjuQlk-s5spbM:&tbnh=104&tbnw=99&prev=/images%3Fq%3Dlipoma,breast%26hl%3Dar%26sa%3DG%26gbv%3D2%26tbs%3Disch:1&ei=icbuTOPwL4iChQfMmYm5Cg

breast,galactocele

A

B


Cystic mass with fat-fluid level galactocele. (a) Mammogram reveals an oval circumscribed mass with the characteristic fat-fluid level (arrows). In this type of galactocele, the milk content is fresh and fluid, allowing the fat to rise and the heavier water content to remain in the lower portion of the cyst. (b) US image also demonstrates the fat-fluid level (long arrows), with typical high and low echogenicity. Note that the fatty component has risen and occupies the upper (nondependent) portion of the cyst, whereas the heavier water content remains in the lower (dependent) portion. Note also the clot of fatty milk (“cream”) (short arrow) floating in the nondependent portion of the cyst owing to its intermediate density.

http://radiographics.rsna.org/content/27/suppl_1/S101.figures-only

breast,plasma cell mastitis

Large Rod-like, Plasma cell mastitis

http://www.google.com.eg/imgres?imgurl=http://www.radiologyassistant.nl/images/thmb_47ebcfe54f241plasmacel-mastitis.png&imgrefurl=http://www.radiologyassistant.nl/en/4793bfde0ed53&usg=__J6Yl7bUKHxofKgE908rME1K03w8=&h=168&w=370&sz=56&hl=ar&start=4&sig2=AUHJw8vTzWTngE5vcWn2tQ&zoom=1&itbs=1&tbnid=8G4pF9EmrBilRM:&tbnh=55&tbnw=122&prev=/images%3Fq%3Dplasma%2Bcell%2Bmastitis%26hl%3Dar%26sa%3DG%26gbv%3D2%26tbs%3Disch:1&ei=lcLuTPPXJMqwhAf1wJirCg

breast,plasma cell mastitis

Large rod shaped cacifications, multiple, sometimes branching and symetric in many cases. Note the dense, smooth, thick character that distinguishs these from the much softer, irregular, smaller calcifications of intraductal cancer.

http://www.google.com.eg/imgres?imgurl=http://radiology.creighton.edu/basic/mmg/image170.gif&imgrefurl=http://radiology.creighton.edu/mammo.htm&usg=__NgNDvx5eHnmmlqiRuX-ou3-jODQ=&h=241&w=216&sz=5&hl=ar&start=3&sig2=kAhdkWXE4WaImzUxVWZ2oQ&zoom=1&itbs=1&tbnid=Ml7WuSuICo7E4M:&tbnh=110&tbnw=99&prev=/images%3Fq%3Dplasma%2Bcell%2Bmastitis%26hl%3Dar%26sa%3DG%26gbv%3D2%26tbs%3Disch:1&ei=TMHuTJ3aN4q3hQe8ssmoCg

breast,duct ectasia

Duct ectasia in the right breast in a 13-year-old girl. US scan depicts anechoic tubular structures.

http://www.google.com.eg/imgres?imgurl=http://radiographics.rsna.org/content/20/6/1613/F22.large.jpg&imgrefurl=http://radiographics.rsna.org/content/20/6/1613/F22.expansion&usg=__N3ecBH95OaAq2b_NcwMQZrDhtOw=&h=1456&w=1800&sz=321&hl=ar&start=1&sig2=txBavFP3CTgnpLBEf23IZw&zoom=1&itbs=1&tbnid=IgjqiXE3BF686M:&tbnh=121&tbnw=150&prev=/images%3Fq%3Dduct%2Bectasia,breast%26hl%3Dar%26sa%3DG%26gbv%3D2%26tbs%3Disch:1&ei=2mbuTMDcK9GB4Qam6anHCg

breast,duct ectasia

This magnification left mediolateral galactogram demonstrates diffuse mild dilatation of the ducts. There were no persistent filling defects.

http://www.google.com.eg/imgres?imgurl=http://download.imaging.consult.com/ic/images/S1933033207712806/gr8-midi.jpg&imgrefurl=http://imaging.consult.com/image/topic/dx/Breast%3Ftitle%3DDuct%2520Ectasia%2520(Breast)%26image%3Dfig8%26locator%3D%26pii%3DS1933-0332(07)71280-6&usg=__90pbK4AcnglA5j71K6x70UxHq1g=&h=185&w=200&sz=4&hl=ar&start=13&sig2=0kdrB08PCwl4rO0AciPj9Q&zoom=1&itbs=1&tbnid=bAQUJoHIlrduXM:&tbnh=96&tbnw=104&prev=/images%3Fq%3Dduct%2Bectasia,breast%26hl%3Dar%26sa%3DG%26gbv%3D2%26tbs%3Disch:1&ei=AmbuTOzKB8SB4Qa5poWkCg

breast,papilloma

A
B

Images of a 4-mm benign intraductal papilloma in a 46-year-old woman with recent onset of reproducible dark sanguinous discharge from the right nipple. The mammogram and US image (not shown) were unremarkable. (a) Craniocaudal digital galactogram obtained with the patient in a prone position shows a 4-mm rectangular filling defect (arrow) with a smaller round bubble (arrowhead) immediately inferior to it. (b) Paired craniocaudal stereotactic images show the filling defect (arrows) and bubble (arrowheads); targeting was performed by using these paired images.

http://radiology.rsna.org/content/218/2/576.figures-only

breast,intra-ductal papilloma

Duplex Doppler images of the left subareolar region show that the intraluminal mass has arterial flow.

http://radiology.rsna.org/content/210/3/795.figures-only

breast,intra-ductal papilloma

Transverse sonogram obtained with a 7.5-MHz linear transducer in the subareolar region. The curved arrow indicates the intraluminal solid mass. The straight arrows indicate the dilated duct.

http://radiology.rsna.org/content/210/3/795.figures-only

breast,intra-ductal papilloma

Transverse sonograms obtained with a 7.5-MHz linear transducer in the subareolar region. The straight arrows show a dilated tubular structure. The curved arrow indicates an intraluminal solid mass. NIP refers to the location of the inverted nipple.

http://radiology.rsna.org/content/210/3/795.figures-only

Monday, November 22, 2010

glomus tympanicum


typanicum tumor is a benign mass that usually form on the cochlear promontory. They are the most common neoplasms of the middle ear. The two most common symtoms are pulsatile tinnitus and conductive hearing loss. Treatment for glomua tympanicum tumors is surgical removal.



diffuse intense enhancement on T1 MRI with contrast in the right middle ear.
http://www.google.com.eg/imgres?imgurl=http://www.aboutcancer.com/gk_glomus.jpg&imgrefurl=http://www.aboutcancer.com/gk_glomus.htm&usg=__f3h58gkAknerkTPmYM_ZRQuGfrw=&h=377&w=430&sz=18&hl=ar&start=14&sig2=LM7yq4FUxkMNKrkSmvCpbw&zoom=0&itbs=1&tbnid=IqXyyQXZ-nEuxM:&tbnh=110&tbnw=126&prev=/images%3Fq%3Dglomus%2Btympanicum,mri%26hl%3Dar%26sa%3DG%26gbv%3D2%26tbs%3Disch:1&ei=ernqTI9PibqMB5WfoIcD