Linguini Sign

There are high signal subglandular implants with central serpentine, low signal line.

Normal breast on MRI demonstrates high signal fat intensity interspersed with low signal fibrous tissue. The implant material is of higher signal than normal breast fatty tissue. The lines, termed “linguini sign,” within the implant capsule indicate intracapsular collapse.


http://eradiology.bidmc.harvard.edu/Classics/item.aspx?section=Emergency+Radiology&labelpk=33f0adab-853f-4010-a0e2-0756b3f1eac5&pk=284349c3-afac-4ba1-b979-9347a55d241d

- Both breasts show many densely radiopaque nodules, compatible with free silicone residue from previously ruptured silicone implants.
-The newer left saline implant has ruptured and collapsed completely. The rounded density is the inflation port.
-The right saline implant is intact.

Discussion
Complications of breast implants include fibrous capsule formation (usual), capsule contracture, capsule herniation, intracapsular rupture, extracapsular rupture.


http://eradiology.bidmc.harvard.edu/Classics/item.aspx?section=Emergency+Radiology&labelpk=33f0adab-853f-4010-a0e2-0756b3f1eac5&pk=ae82373a-f588-4487-99e7-ad48d559848b

-There is extracapsular rupture with several high density silicone nodules in the left axilla.
-The subglandular implants in both breasts are rounded up and demonstrate subtle irregularity in their curvature.


http://eradiology.bidmc.harvard.edu/Classics/item.aspx?section=Emergency+Radiology&labelpk=33f0adab-853f-4010-a0e2-0756b3f1eac5&pk=dca074cc-8424-4ae4-9dbd-d302d247f675